Provider Information for 1265984488
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DAVID ELLIOT MSW
Sex: Male
NPI: 1265984488
Last Updated: 2019-04-09
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1265984488 | ||||||||
| Enumeration Date | 2016-11-04 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1333 IRIS AVE BOULDER, CO 80304-2226 United States Phone: 303-443-8500 | Fax: | ||||||||
| Primary Practice Address | 1748 STEEL ST UNIT 5306 LOUISVILLE, CO 80027-8537 United States Phone: 424-328-4330 | Fax: | ||||||||
| Secondary Practice Address(es) | 1333 IRIS AVE 1333 IRIS AVE | ||||||||
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