Individual
JAMES WARREN ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3200 GRAND AVE, DES MOINES, IA 50312-4104
(515) 271-1710
(515) 271-1575
Mailing address
3200 GRAND AVE, DES MOINES, IA 50312-4104
(515) 271-1710
(515) 271-1575
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02209
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080168064
RR MEDICARE
IA
05
—
4045054
—
IA
Enumeration date
08/19/2005
Last updated
02/24/2010
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