| Doctor Name: | DR. CLYDE E ELLIOTT |
| NPI Number: | 1326058918 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 10533 |
| Business Practice Address: | 304 Circle Dr West Monroe, LA - 71291 |
| Business Phone Number: | 3183884863 |
| Business Fax Number: | 3183881144 |
| Mailing Address: | 304 Circle Dr, WEST MONROE |
| State: | LA |
| Postal Code: | 71291 |
| Phone Number: | 3183884863 |
| Fax Number: | 3183881144 |
| NPI Enumeration Date: | 08/08/2006 |
| NPI Last Update Date: | 11/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 10533 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |