Dr. JOHN W ELLIOTT MD

750 REDWOOD HWY FRONTAGE RD STE 1204, MILL VALLEY, CA, 949412483

atlas:atm_npi_1043224280

Block 3006Block Group 3Census Tract 1250Marin County California United States

What is stored

status: A
address: 750 REDWOOD HWY FRONTAGE RD STE 1204, MILL VALLEY, CA, 949412483
npi: 1043224280
license: C40989
taxonomy: Emergency Medicine
other names: []
last updated: 2023-08-23
license state: CA
taxonomy code: 207P00000X
all taxonomies: ["Emergency Medicine"]
sole proprietor: NO
enumeration date: 2006-07-27
enumeration type: NPI-1
practice locations: 0

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{
  "npi": "1043224280",
  "status": "A",
  "address": "750 REDWOOD HWY FRONTAGE RD STE 1204, MILL VALLEY, CA, 949412483",
  "license": "C40989",
  "taxonomy": "Emergency Medicine",
  "other_names": [],
  "last_updated": "2023-08-23",
  "license_state": "CA",
  "taxonomy_code": "207P00000X",
  "all_taxonomies": [
    "Emergency Medicine"
  ],
  "sole_proprietor": "NO",
  "enumeration_date": "2006-07-27",
  "enumeration_type": "NPI-1",
  "practice_locations": 0
}