Individual
CHARLES GREGORY ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8TH AVE C ST, SALT LAKE CITY, UT 84143-0001
(801) 408-1875
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
160034-1205
UT
Other
Enumeration date
10/03/2006
Last updated
05/23/2025
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