Elliott, Thomas R

Elliott, Thomas R is an sole proprietor health care provider with primary practice located at 1980 W Hospital Dr Ste 300 , Tucson AZ 85704-7805. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Elliott, Thomas R can be contacted via phone (520) 742-9062.

Contact Information

Primary practice address
1980 W Hospital Dr Ste 300 Tucson AZ 85704-7805
Phone: (520) 742-9062
Fax: (520) 797-8627
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 11650 Arizona
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 11650 Arizona

Profile Details

NPI number 1215087143
LBN Legal business name Elliott, Thomas R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2007
Last updated Sep 26th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215087143 NPPES
Arizona MEDICAID 234823
Arizona Other P00998677

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