Richard Lowen Elliott MD

NPI 1184708703 - Ophthalmology - 207W00000X

NPI Details
NPI 1184708703
Gender Male
Enumeration Date 10/24/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
500 SOUTH 11TH AVE
SUITE 206
POCATELLO ID, 83201, US
Phone (208) 232-3480
Fax (208) 233-6585
Business Location
500 SOUTH 11TH AVE
SUITE 206
POCATELLO ID, 83201, US
Phone (208) 232-3480
Fax (208) 233-6585
Toxanomy
Taxonomy Code 207W00000X
License State California
License Number GFE9724
Remove 1184708703 NPI Number
 

According to our database, Richard Lowen Elliott MD NPI is 1184708703, taxonomy code is 207W00000X and license number is GFE9724, license state is located at California. Richard Lowen Elliott MD physically located at 500 South 11th Ave, Pocatello ID, 83201. NPI Number Richard Lowen Elliott MD has the Individual type.

Sponsored links

1184708703 NPI number is provided on an as is basis without warranty of any kind. 1184708703 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Lowen Elliott MD are for informational purposes only.