Organization
DAVID K. ELLIOTT, DPM.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID K ELLIOTT DPM (OWNER)
(330) 630-9030
Entity
Organization
Contact information
Practice address
20 SOUTH AVE, TALLMADGE, OH 44278-2802
(330) 630-9030
(330) 630-3554
Mailing address
20 SOUTH AVE, TALLMADGE, OH 44278-2802
(330) 630-9030
(330) 630-3554
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
36001901
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0458320
—
OH
Enumeration date
03/07/2008
Last updated
03/07/2008
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