Provider Demographics
NPI:1780063529
Name:WILLIAMS, ELLIOT OGILVIE (DVM)
Entity type:Individual
Prefix:DR
First Name:ELLIOT
Middle Name:OGILVIE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6360 S HIGHLAND DR
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84121-2108
Mailing Address - Country:US
Mailing Address - Phone:801-278-0505
Mailing Address - Fax:801-277-9369
Practice Address - Street 1:6360 S HIGHLAND DR
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84121-2108
Practice Address - Country:US
Practice Address - Phone:801-278-0505
Practice Address - Fax:801-277-9369
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-27
Last Update Date:2015-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9377389-2801174M00000X
NC8028174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian