Individual
WILLIAM MARTIN ELLIOTT II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 CHERRY ST, BLUEFIELD, WV 24701-3306
(304) 327-1100
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4150
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
13508
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000143660
BLUE CROSS BLUE SHIELD
WV
01
—
001827970
BLUE CROSS BLUE SHIELD
WV
05
—
0056780000
—
WV
05
—
010283205
—
VA
01
—
1003314
BRICKSTREET
WV
01
—
3001609
BRICKSTREET
WV
01
—
P00309253
RR MEDICARE BLUEFIELD
—
Enumeration date
05/19/2006
Last updated
06/19/2013
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