Individual
ELLIOT SOL WEISSBLUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
162 N OUTLOOK TRAIL, BIG SKY, MT 59720
(312) 925-4400
(312) 925-4400
Mailing address
1199 S FEDERAL HWY STE 380, BOCA RATON, FL 33432-7335
(312) 925-4400
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
COMPLETING
MT
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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