Individual
KEITH ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1552 SOUTH 1000 EAST, SALT LAKE CITY, UT 84105
(801) 230-4125
Mailing address
1552 SOUTH 1000 EAST, SALT LAKE CITY, UT 84105
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
7154775-1205
UT
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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