Individual
DR. CHRISTOPHER ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 MERCY DR, COUNCIL BLUFFS, IA 51503-3128
(712) 328-5230
Mailing address
769 N 163RD ST, OMAHA, NE 68118-2507
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
18807
NE
207P00000X
Emergency Medicine Physician
Primary
31116
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0600478
—
IA
05
—
47037660412
—
NE
Enumeration date
08/20/2006
Last updated
07/08/2007
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