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Individual

WILLIAM G ELLIOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
75 COLONIA DE SALUD, SUITE 200B, SIERRA VISTA, AZ 85635-2487
(520) 417-0468
(520) 459-0526
Mailing address
PO BOX 30370, TUCSON, AZ 85751-0370
(520) 722-0777
(520) 290-9713

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
03390
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
445008
AZ
01
AZ0761240
BCBSAZ
AZ
Enumeration date
07/04/2006
Last updated
10/22/2007
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