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Individual
DR. ROBERT NEIL ELLIOTT
Active
Individual
DR. ROBERT NEIL ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01056931A
IN
208M00000X
Hospitalist Physician
Primary
01056931A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000598991
BCBS
IN
01
—
000000983472
ANTHEM PIN
IN
01
—
1396910139
GRP NPI
IN
05
—
200165460
—
IN
01
—
P00732683
MEDICARERR
IN
Enumeration date
06/08/2005
Last updated
08/13/2018
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