Individual
TERRENCE ARASHI ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTOMETRY TECH
Contact information
Practice address
ANDREWS AVE, BLDG 301, LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(334) 255-7185
(334) 255-7368
Mailing address
ANDREWS AVE, BLDG 301, LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(334) 255-7185
(334) 255-7368
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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