Individual
DR. JAMES RANDALL ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
95 AMDS/SGP, 55 N. WOLFE AVE., EDWARDS AFB, CA 93524-0001
(661) 277-1130
(661) 277-0688
Mailing address
95 AMDS/SGP, 55 N. WOLFE AVE., EDWARDS AFB, CA 93524-0001
(661) 277-1130
(661) 277-0688
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
95-230
NM
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
95-230
NM
Other
Enumeration date
04/11/2006
Last updated
07/13/2026
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