Organization
ELLIOTT MEDICAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOB ELLIOTT D.O. (PRESIDENT)
(405) 640-9085
Entity
Organization
Contact information
Practice address
122 E EUFAULA ST, NORMAN, OK 73069-6017
(405) 640-9085
(405) 360-5607
Mailing address
3334 W MAIN ST # 523, NORMAN, OK 73072-4805
(405) 640-9085
(405) 360-5607
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
2366
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100106530 C
—
OK
Enumeration date
11/02/2008
Last updated
11/02/2008
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