Individual
DR. MICHAEL A ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD00033595
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039590
LABOR & INDUSTRY
WA
05
—
8227969
—
WA
01
—
EL4341
BLUE SHIELD
WA
01
—
MD2863
AK DSHS
WA
01
—
US5277658
AETNA/USHC SPECIALIST
WA
Enumeration date
07/18/2006
Last updated
05/18/2021
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