SHANNA ELLIOTT, DO

Family Medicine

Active Individual
NPI: 1629458302

Practice Address

2055 KIMBALL AVE
SUITE 101
Waterloo, IA 50702

Phone: (319) 272-2112

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes R-10280 (IA)

Frequently Asked Questions

NPI 1629458302 is the National Provider Identifier for SHANNA ELLIOTT, DO, a Family Medicine provider located in Waterloo, IA. This NPI was enumerated on June 8, 2015.
SHANNA ELLIOTT, DO practices at 2055 KIMBALL AVE, SUITE 101, Waterloo, IA 50702.

Quick Facts

NPI
1629458302
Type
Individual
Enumerated
Jun 8, 2015
Last Updated
Jun 8, 2015

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