Individual
ROBERT I ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
527 POCKET RD, HURT, VA 24563-2023
(434) 324-9150
(434) 324-8248
Mailing address
527 POCKET RD, HURT, VA 24563-2023
(434) 324-9150
(434) 324-8248
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101038619
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005618789
—
VA
01
—
080124260
MEDICARE RAILROAD
VA
01
—
240963
ANTHEM
VA
Enumeration date
11/17/2005
Last updated
08/13/2013
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