Provider Demographics
NPI:1457685984
Name:ELEID, NOURA LOUISE (MD, DIPL OM)
Entity Type:Individual
Prefix:DR
First Name:NOURA
Middle Name:LOUISE
Last Name:ELEID
Suffix:
Gender:F
Credentials:MD, DIPL OM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:450 S WILLARD ST STE 103
Mailing Address - Street 2:
Mailing Address - City:COTTONWOOD
Mailing Address - State:AZ
Mailing Address - Zip Code:86326-6744
Mailing Address - Country:US
Mailing Address - Phone:928-634-9573
Mailing Address - Fax:928-634-0135
Practice Address - Street 1:450 S WILLARD ST STE 103
Practice Address - Street 2:
Practice Address - City:COTTONWOOD
Practice Address - State:AZ
Practice Address - Zip Code:86326-6744
Practice Address - Country:US
Practice Address - Phone:928-634-9573
Practice Address - Fax:928-634-0135
Is Sole Proprietor?:No
Enumeration Date:2009-09-30
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ66953207R00000X
ORAC140946171100000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No171100000XOther Service ProvidersAcupuncturist