Individual
DR. PETER ALBERT ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 885-5000
Mailing address
751 S BASCOM AVE FL 4, SAN JOSE, CA 95128-2604
(408) 885-2670
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A134837
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2013
Last updated
10/27/2020
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