Individual
DR. RICHARD KIRK ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3722 DRESSLER RD NW, CANTON, OH 44718
(330) 479-9000
(330) 477-5805
Mailing address
3722 DRESSLER RD NW, CANTON, OH 44718
(330) 479-9000
(330) 477-5805
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
34003174
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0466197
—
OH
Enumeration date
07/14/2006
Last updated
07/08/2007
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