Individual
SUZANNE GRILLOT ELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10701 NALL AVE, SUITE 200, OVERLAND PARK, KS 66211-1231
(913) 381-5225
(913) 341-3940
Mailing address
12639 OLD TESSON RD, SUITE 100, SAINT LOUIS, MO 63128-2786
(314) 849-0311
(314) 849-4423
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
04-33104
KS
207XS0106X
Orthopaedic Hand Surgery Physician
2008020473
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41337012
BCBS
KS
01
—
5952459
AETNA
KS
01
—
P01151758
RAILROAD MEDICARE
—
Enumeration date
06/05/2007
Last updated
07/26/2019
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