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Individual

DR. TOLLIE BURKE ELLIOTT SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1150 VARNUM ST NE, WASHINGTON, DC 20017-2104
(202) 269-7525
(202) 269-7754
Mailing address
1150 VARNUM ST NE, WASHINGTON, DC 20017-2104
(202) 269-7525
(202) 269-7754

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD035000
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0020443-00
DC
05
101116180
VA
Enumeration date
03/16/2006
Last updated
03/20/2013
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