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Contact Information

JOHN T ELLIOTT, MD
5121 S COTTONWOOD ST
MURRAY, UT84107-5701
 Phone: 801-507-6600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for JOHN T ELLIOTT · (Male)

NPI # 1306199898
Status Active
Credentials MD
Entity Individual
Enumeration date 10/20/2012
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A123316
  • PA License # MD454187
  • UT License # 10318034-1205
Hospital affiliation(s)
  • BARTON MEMORIAL HOSPITAL - (Acute Care)
    2170 SOUTH AVENUE
    SOUTH LAKE TAHOE, CA 96150
  • CARSON VALLEY MEDICAL CENTER - (Critical Access)
    1107 HIGHWAY 395
    GARDNERVILLE, NV 89410
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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