Individual
AMBER LEE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
8950 W EMERALD ST STE 195, BOISE, ID 83704-8296
(208) 999-3034
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 412-4530
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
1619396785
TX
208600000X
Surgery Physician
Primary
O-1263
ID
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/15/2014
Last updated
03/13/2025
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