EDWARD ELLIOTT III

Orthopaedic Surgery - Foot and Ankle Surgery

Active Individual
NPI: 1083957088

Practice Address

2 MEMORIAL DR STE 305
Decatur, IL 62526

Phone: (217) 876-4830

Specialties

Specialty Code Primary License
Podiatrist 213E00000X No 016-005738 (IL)
Orthopaedic Surgery - Foot and Ankle Surgery 207XX0004X Yes DP220790 (OR)

Frequently Asked Questions

NPI 1083957088 is the National Provider Identifier for EDWARD ELLIOTT III, a Orthopaedic Surgery - Foot and Ankle Surgery provider located in Decatur, IL. This NPI was enumerated on March 28, 2013.
EDWARD ELLIOTT III practices at 2 MEMORIAL DR STE 305, Decatur, IL 62526.

Quick Facts

NPI
1083957088
Type
Individual
Enumerated
Mar 28, 2013
Last Updated
Sep 19, 2024

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