Individual
JODI S ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3340 PROVIDENCE DR STE 500, ANCHORAGE, AK 99508-4628
(907) 562-2423
(907) 563-1170
Mailing address
3340 PROVIDENCE DR STE 500, ANCHORAGE, AK 99508-4628
(907) 562-2423
(907) 563-1170
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5743
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1017253
PREFERRED ONE
—
01
—
1202554
MEDICA HEALTH PLANS
—
01
—
128703
U CARE
—
01
—
1846375
FIRST HEALTH PLAN
—
01
—
293R7EL
BLUE CROSS BLUE SHIELD
—
01
—
370022650
RR MEDICARE
—
01
—
787139
ARAZ GROUP AMERICAS PPO
—
01
—
COMP
MMSI
—
01
—
HP26565
HEALTH PARTNERS
—
Enumeration date
11/07/2005
Last updated
01/26/2011
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