Provider Demographics
NPI:1457465254
Name:ELGAS, HOLLY LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:LYNN
Last Name:ELGAS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4045 WADSWORTH BLVD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-4642
Mailing Address - Country:US
Mailing Address - Phone:303-425-6012
Mailing Address - Fax:303-467-9211
Practice Address - Street 1:4045 WADSWORTH BLVD
Practice Address - Street 2:SUITE 250
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-4642
Practice Address - Country:US
Practice Address - Phone:303-425-6012
Practice Address - Fax:303-467-9211
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2011-06-17
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Provider Licenses
StateLicense IDTaxonomies
CO38811207Q00000X
WAMD00046255207Q00000X
NMMD20060266207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine