Individual
DR. ERIC D ELLIOTT
Active
Individual
DR. ERIC D ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01039357A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000082128
ANTHEM-351158723
IN
01
—
000000492343
ANTHEM 203778927
IN
01
—
000545
SIHO-351158723
IN
01
—
069966
HEALTH ALLIANCE-351158723
IN
05
—
100349120
—
IN
01
—
300100760
RR MEDICARE-351158723
IN
01
—
Q0070339
CMOSHO351158723&352047427
IN
Enumeration date
10/24/2005
Last updated
10/03/2016
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