Provider Demographics
NPI:1417155847
Name:ELWAY, AMBER (DO)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:ELWAY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:27 HECKEL RD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:MC KEES ROCKS
Mailing Address - State:PA
Mailing Address - Zip Code:15136-1616
Mailing Address - Country:US
Mailing Address - Phone:412-331-6503
Mailing Address - Fax:412-331-6804
Practice Address - Street 1:27 HECKEL RD
Practice Address - Street 2:SUITE 107
Practice Address - City:MC KEES ROCKS
Practice Address - State:PA
Practice Address - Zip Code:15136-1616
Practice Address - Country:US
Practice Address - Phone:412-331-6503
Practice Address - Fax:412-331-6804
Is Sole Proprietor?:No
Enumeration Date:2007-07-06
Last Update Date:2021-06-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS013939207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine