Provider Demographics
NPI:1306348917
Name:TOHME, ELIAS Z (MD)
Entity type:Individual
Prefix:
First Name:ELIAS
Middle Name:Z
Last Name:TOHME
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 DOOLITTLE DR.
Mailing Address - Street 2:ELLSWORTH AFB
Mailing Address - City:BOX ELDER
Mailing Address - State:SD
Mailing Address - Zip Code:57706
Mailing Address - Country:US
Mailing Address - Phone:605-385-3267
Mailing Address - Fax:
Practice Address - Street 1:2900 DOOLITTLE DR # 57706
Practice Address - Street 2:
Practice Address - City:ELLSWORTH AFB
Practice Address - State:SD
Practice Address - Zip Code:57706-4821
Practice Address - Country:US
Practice Address - Phone:605-385-3002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-28
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No171000000XOther Service ProvidersMilitary Health Care Provider