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Contact Information

THOMAS E ELLIOTT, MD
2030 SUTTER PLACE
SUITE 1100
DAVIS, CA95616
 Phone: 530-750-5890
 Fax: 530-750-5859
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for THOMAS E ELLIOTT · (Male)

NPI # 1376654939
Status Active
Credentials MD
Entity Individual
Enumeration date 08/31/2006
Last updated 07/22/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • CA License # C26549
  • CA Medicaid 00C265490
Hospital affiliation(s) Not Available
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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