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Organization
ELLIOTT FOOT AND ANKLE ASSOC, INC
Active
Organization
ELLIOTT FOOT AND ANKLE ASSOC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMERON A. ELLIOTT DPM (PRESIDENT)
(330) 929-3331
Entity
Organization
Contact information
Practice address
2127 STATE RD, CUYAHOGA FALLS, OH 44223-1427
(330) 929-3331
(330) 929-5408
Mailing address
2127 STATE RD, CUYAHOGA FALLS, OH 44223-1427
(330) 929-3331
(330) 929-5408
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36001546E
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000166454
ANTHEM GROUP #
OH
05
—
0147326
—
OH
05
—
0953357
—
OH
01
—
CJ0712
MEDICARE RR
OH
Enumeration date
08/08/2006
Last updated
04/23/2008
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