Individual
DR. PHILLIP KEITH ELLIOTT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
629 AVENUE D, SNOHOMISH, WA 98290-2330
(360) 568-1551
(360) 568-9487
Mailing address
PO BOX 189, SNOHOMISH, WA 98291-0189
(360) 568-1551
(360) 568-9487
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
872
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2254803
—
WA
Enumeration date
06/05/2006
Last updated
07/08/2007
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