Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | R7043 | MO |
NPI | 1053379776 |
---|---|
Provider Name | Dr. Elliot Abbey |
First Address | Chesterfield, MO 63017-3417 |
Second Address | Chesterfield, MO 63017-3417 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2006 |
Last Update Date | 29/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0745843 | CIGNA (01) | MO |
1438632 | UNITED HEALTHCARE (01) | MS |
19511 | BLUE SHIELD (01) | MO |
206929606 | (05) | MO |
237556 | HEALTHLINK (01) | MO |
241962 | GROUP HEALTH PLAN (01) | MO |
35616 | CMR- GROUP HEALTH PLAN (01) | MO |
E00431656769 | AETNA (01) | MO |
F56096 | (02) | MO |