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Individual

DR. DAVID C ELLIOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8921 THREE CHOPT RD, SUITE 300, RICHMOND, VA 23229-4601
(804) 285-4133
(804) 285-5008
Mailing address
1916 MONTAIGNE DR, RICHMOND, VA 23235-4250
(804) 272-2878

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G86515
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G865150
CA
05
010416043
VA
05
1952320905
VA
Enumeration date
07/19/2006
Last updated
12/29/2009
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