L Edward Elliott Et Al Ptr Elliott L Edward Gen Ptr
NPI #1760558498 in Modesto, California
Provider Information
- NPI Number
- 1760558498
- Entity Type
- Organization
- Organization Name
- L Edward Elliott Et Al Ptr Elliott L Edward Gen Ptr
- Primary Specialty
- Optometrist
- Enumeration Date
- Nov 27, 2006
- Last Updated
- Feb 1, 2013
Practice Location
- Address
- 3601 COFFEE RD
- City
- Modesto
- State
- California
- ZIP Code
- 95355
- Phone
- (209) 521-1028
Authorized Official
- Name
- MR. L EDWARD ELLIOTT, OD
- Title
- DOCTOR OF OPTOMETRY
- Phone
- (209) 521-1028
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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