Individual
DAVID K ELLIOTT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
20 SOUTH AVE, TALLMADGE, OH 44278-2802
(330) 630-9030
(330) 630-3554
Mailing address
1329 HOUSLEY RD, STOW, OH 44224-1713
(330) 688-8624
(330) 688-7876
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36 001901
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0458320
—
OH
Enumeration date
07/08/2005
Last updated
07/08/2007
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