Individual
DR. GARRETT WILLIAM ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3601 COFFEE RD, MODESTO, CA 95355-1161
(209) 521-1028
Mailing address
7013 N PARK RIDGE CT, RIVERBANK, CA 95367-9654
(209) 606-5167
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
35043
CA
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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