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Organization

DAVID K. ELLIOTT, DPM.

Active
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Organization

DAVID K. ELLIOTT, DPM.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID K ELLIOTT DPM (OWNER)
(330) 630-9030
Entity
Organization

Contact information

Practice address
20 SOUTH AVE, TALLMADGE, OH 44278-2802
(330) 630-9030
(330) 630-3554
Mailing address
20 SOUTH AVE, TALLMADGE, OH 44278-2802
(330) 630-9030
(330) 630-3554

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
36001901
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0458320
OH
Enumeration date
03/07/2008
Last updated
03/07/2008
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