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Organization

ELLIOTT OB GYN INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURA ELLIOTT M.D. (PRESIDENT)
(419) 599-0055
Entity
Organization

Contact information

Practice address
1600 E RIVERVIEW AVE, SUITE 105, NAPOLEON, OH 43545-9805
(419) 599-0055
(419) 599-0089
Mailing address
1600 E RIVERVIEW AVE, SUITE 105, NAPOLEON, OH 43545-9805
(419) 599-0055
(419) 599-0089

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35085807
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2544189
OH
Enumeration date
09/27/2007
Last updated
07/07/2010
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