Daniel R. Elliott PA-C

NPI 1023004033 - Physician Assistant - 363A00000X

NPI Details
NPI 1023004033
Gender Male
Enumeration Date 09/26/2005
Last Updated 12/05/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
18277 PASADENA ST
STE 109
LAKE ELSINORE CA, 92530-2790, US
Phone (951) 471-3888
Fax (951) 471-2965
Business Location
18277 PASADENA ST STE 109
LAKE ELSINORE CA, 92530-2791, US
Phone (961) 471-3888
Fax (951) 471-2965
Toxanomy
Taxonomy Code 363A00000X
License State California
License Number PA16841
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According to our database, Daniel R. Elliott PA-C NPI is 1023004033, taxonomy code is 363A00000X and license number is PA16841, license state is located at California. Daniel R. Elliott PA-C physically located at 18277 Pasadena St, Lake Elsinore CA, 92530-2790. NPI Number Daniel R. Elliott PA-C has the Individual type.

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1023004033 NPI number is provided on an as is basis without warranty of any kind. 1023004033 is maintained by the National Plan & Provider Enumeration System. The contents of Daniel R. Elliott PA-C are for informational purposes only.