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Individual

JOHN PALMER ELLIOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2242 W SOUTHERN AVE, MESA, AZ 85202-4704
(480) 756-6000
(855) 636-8770
Mailing address
2242 W SOUTHERN AVE, MESA, AZ 85202-4704
(480) 756-0000
(855) 636-8770

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
13923
AZ
207VM0101X
Maternal & Fetal Medicine Physician
Primary
13923
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
229692
AZ
Enumeration date
03/16/2006
Last updated
04/27/2021
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