Organization
ELLIOTT FOOT AND ANKLE ASSOC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMERON A. ELLIOTT DPM (PRESIDENT)
(330) 929-3331
Entity
Organization
Contact information
Practice address
2127 STATE RD, CUYAHOGA FALLS, OH 44223-1427
(330) 929-3331
(330) 929-5408
Mailing address
2127 STATE RD, CUYAHOGA FALLS, OH 44223-1427
(330) 929-3331
(330) 929-5408
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36001546E
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000166454
ANTHEM GROUP #
OH
05
—
0147326
—
OH
05
—
0953357
—
OH
01
—
CJ0712
MEDICARE RR
OH
Enumeration date
08/08/2006
Last updated
04/23/2008
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