| Organization Name: | ELLIOTT MEDICAL SERVICES, INC |
| NPI Number: | 1831342906 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BOB ELLIOTT (PRESIDENT) |
| Mailing Address: | 122 E Eufaula St Norman |
| State: | OK US |
| Postal Code: | 730696017 |
| Phone Number: | 4056409085 |
| Fax Number: | 4053605607 |
| NPI Enumeration Date: | 11/02/2008 |
| NPI Last Update Date: | 11/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 2366 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |