Individual
DR. ANGELA ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1518 MULBERRY AVE, MUSCATINE, IA 52761-3433
(563) 264-9508
(563) 264-0166
Mailing address
1518 MULBERRY AVE, MUSCATINE, IA 52761-3433
(563) 264-9508
(563) 264-0166
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO-04528
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982831426
—
IA
Enumeration date
01/17/2014
Last updated
01/21/2014
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