Individual
DR. RICHARD W ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
18598 W MAIN, GALLIANO, LA 70354
(985) 475-5088
Mailing address
PO BOX 907, GALLIANO, LA 70354
(985) 475-5088
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
660
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1957925
—
LA
Enumeration date
09/27/2006
Last updated
07/08/2007
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