Doctor Name: | CAMERON A. ELLIOTT |
NPI Number: | 1033190665 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | 36001546E |
Business Practice Address: | 2127 State Rd Cuyahoga Falls, OH - 442231427 |
Business Phone Number: | 3309293331 |
Business Fax Number: | 3309295408 |
Mailing Address: | 2127 State Rd, CUYAHOGA FALLS |
State: | OH |
Postal Code: | 442231427 |
Phone Number: | 3309293331 |
Fax Number: | 3309295408 |
NPI Enumeration Date: | 11/10/2005 |
NPI Last Update Date: | 02/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 36001546E |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |