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Individual

DR. JOHN M ELLIOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
C.S.F.A./D.O./PH.D.

Contact information

Practice address
2150 S CENTRAL EXPY STE 130, MCKINNEY, TX 75070-4068
(972) 363-8200
(972) 363-8195
Mailing address
3201 MID DALE LN, LOUISVILLE, KY 40220-2615
(502) 599-5778

Taxonomy

Speciality
Code
Description
License number
State
175L00000X
Homeopath
FFF/11/296
ZZ
246ZC0007X
Surgical Assistant
Primary
107788
CO
246ZC0007X
Surgical Assistant
SA170
KY

Other

Enumeration date
07/10/2007
Last updated
09/09/2016
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