Individual
DOUGLAS R ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
407 S WHITE ST, SUITE 103, MOUNT PLEASANT, IA 52641-2262
(319) 385-6166
(319) 385-6597
Mailing address
407 S WHITE ST, SUITE 103, MOUNT PLEASANT, IA 52641-2262
(319) 385-6166
(319) 385-6597
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
23933
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1037697
—
IA
01
—
44596
WELLMARK
IA
01
—
918
MIDLANDS CHOICE
IA
01
—
P00178712
RAILROAD MEDICARE PIN
IA
Enumeration date
02/09/2007
Last updated
11/14/2007
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