Individual
DR. CLYDE E ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
304 CIRCLE DR, WEST MONROE, LA 71291
(318) 388-4863
(318) 388-1144
Mailing address
304 CIRCLE DR, WEST MONROE, LA 71291
(318) 388-4863
(318) 388-1144
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
010533
LA
208D00000X
General Practice Physician
10533
LA
Other
Enumeration date
08/08/2006
Last updated
11/01/2011
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