Individual
DR. MICHAEL A ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 17TH AVE, SUITE 400, SEATTLE, WA 98122-5788
(206) 320-2840
(206) 320-2995
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
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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