Individual
PAUL ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
252 W BROOKLYN AVE, SALT LAKE CITY, UT 84101-3024
(801) 363-9400
Mailing address
252 W BROOKLYN AVE, SALT LAKE CITY, UT 84101-3024
(801) 363-9400
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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