NPI 1184708703

Richard Lowen Elliott, MD

Practitioner Ophthalmology Physician Pocatello, ID

Practice location

Address: 500 South 11th Ave Suite 206, Pocatello, ID 83201
Phone: (208) 232-3480
Fax: (208) 233-6585

Registered specialties (2)

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence M4909 (ID)

Other Ophthalmology providers in Idaho →

Ophthalmology Physician

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence GFE9724 (CA)

Registry record

NPI: 1184708703
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Oct 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.