Individual
DR. TIFFANY LEE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4200 S DOUGLAS AVE, SUITE306, OKLAHOMA CITY, OK 73109-3223
(405) 636-7709
Mailing address
16301 BRAVADO PL, EDMOND, OK 73013-2207
(405) 513-7108
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4756
OK
Other
Enumeration date
07/23/2009
Last updated
07/23/2009
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