Individual
DR. RICHARD JOHN ELLIOTT II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
765 KENILWORTH TER NE, WASHINGTON, DC 20019-1898
(202) 469-4699
Mailing address
111 N WASHINGTON AVE FL 1, SCRANTON, PA 18503-1841
(570) 343-2383
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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