Individual
WILLIAM J ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7340 SHADELAND STA, SUITE 200, INDIANAPOLIS, IN 46256-3979
(317) 579-2150
(317) 579-2135
Mailing address
7340 SHADELAND STA, SUITE 200, INDIANAPOLIS, IN 46256-3979
(317) 579-2150
(317) 579-2135
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01023861A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000091485
ANTHEM
IN
Enumeration date
06/15/2006
Last updated
08/17/2007
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