Organization
C. LAYTON ELLIOTT MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. C. LAYTON ELLIOTT MD (PRESIDENT)
(317) 873-8807
Entity
Organization
Contact information
Practice address
1650 W OAK ST, SUITE 203, ZIONSVILLE, IN 46077
(317) 873-8807
(317) 873-8813
Mailing address
1650 WEST OAK ST SUITE 203, PO BOX 399, ZIONSVILLE, IN 46077
(317) 873-8807
(317) 873-8813
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01031986
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100228140A
—
IN
Enumeration date
08/06/2008
Last updated
08/06/2008
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