Individual
MICHAEL JOHNATHON ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 E 2ND ST STE 300, RENO, NV 89502-1198
(775) 982-5000
(775) 982-3900
Mailing address
850 HARVARD WAY, RENO, NV 89502-2055
(775) 982-5262
(775) 982-5496
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
G75995
CA
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
18506
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101233368
VIRGINIA MEDICAL LICENSE
VI
Enumeration date
07/18/2006
Last updated
03/07/2023
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