Individual
CLIFFORD ELLINGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3200 PROVIDENCE DR, ANCHORAGE, AK 99508-4615
(907) 212-3433
Mailing address
2400 E TUDOR RD, ANCHORAGE, AK 99507-1129
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
119197
AK
207P00000X
Emergency Medicine Physician
R73235
AZ
208000000X
Pediatrics Physician
119197
AK
208000000X
Pediatrics Physician
R73235
AZ
Other
Enumeration date
06/09/2012
Last updated
08/10/2022
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