CHARLES GREGORY ELLIOTT

SALT LAKE CITY, UT
NPI1538253372
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
(Licence: UT  160034-1205)
Enumeration Date2006-10-03
Last Update Date2008-03-18
Business Address
-- CHARLES GREGORY ELLIOTT
8TH AVE C ST
SALT LAKE CITY, UT 84143-0001
Phone number: 801-408-1875
Mailing Address
-- CHARLES GREGORY ELLIOTT
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: