Jon Zachary Elliott, D.O.
Radiology, Diagnostic Radiology in Newport News, VA. Individual provider (NPI-1).
NPI number1215159447
StatusActive
Last updated in NPPESApr 13, 2011
Details
- NPI
- 1215159447
- Entity type
- Individual (NPI-1)
- Name
- Jon Zachary Elliott
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 3, 2007
- Last updated
- Apr 13, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 0102202576 | VA | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | OT011323 | PA |
Practice location
500 J Clyde Morris BlvdRiverside Regional Medical Center
Newport News, VA 23601-1929
Phone 757-594-4405 · Fax 757-594-3547
Mailing address
Po Box 12087H088
Newport News, VA 23612-2087
Phone 757-867-6101 · Fax 757-867-6587
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