Dustin David Elliott

NPI #1164968640 in Kuna, Idaho

Provider Information

NPI Number: 1164968640
Entity Type: Individual
Name: Dustin David Elliott
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Enumeration Date: Jan 9, 2017
Last Updated: Jan 9, 2017

Practice Location

Address: 757 E WYTHE CREEK CT STE 102
City: Kuna
State: Idaho
ZIP Code: 83634-5006
Phone: (208) 922-4908

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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