IndividualActive
Richard Elliott, MD
NPI 1184708703 · Ophthalmology Physician · Pocatello, ID
Provider details
- NPI number
- 1184708703
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- M4909 (ID)
Practice location
500 South 11th Ave
Suite 206
Pocatello, ID 83201
Phone: (208) 232-3480
Fax: (208) 233-6585
Mailing address
500 South 11th Ave
Pocatello, ID 83201
Registry dates
- Enumerated
- 2006-10-24
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.