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Individual

MR. BRIAN GERALD ELLIOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
275 WEST BASSETT RD., SUITE 4, SHELBYVILLE, IN 46176
(317) 421-2663
(317) 825-5305
Mailing address
275 WEST BASSETT RD., SUITE 4, SHELBYVILLE, IN 46176
(317) 421-2663
(317) 825-5305

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07000949
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200413870
IN
05
200450000
IN
Enumeration date
10/04/2006
Last updated
12/23/2019
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