Individual
DR. DEREK ELLINGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 435-7001
Mailing address
1010 AIRPARK CENTER DR, NASHVILLE, TN 37217-5200
(615) 221-4400
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
02006527A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2007018750
MO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
DO05260
IA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MEDO7423
AK
Other
Enumeration date
08/30/2007
Last updated
08/25/2021
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