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Individual

DR. ERIC ADAM ELLIOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3920 N UNION BLVD, COLORADO SPRINGS, CO 80907-4900
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4281
CO
207R00000X
Internal Medicine Physician
Primary
DR.0053448
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
029011
KAISER COMMERCIAL NUMBER
CO
05
90155238
CO
Enumeration date
06/05/2012
Last updated
06/22/2021
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