Individual
SANTINA MARIE ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2238
Mailing address
13960 W WAINWRIGHT DR, BOISE, ID 83713-1969
(208) 384-9022
(208) 388-1683
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M-11508
ID
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
7410499-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/09/2008
Last updated
06/28/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us