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Individual

DR. DWIGHT M ELLERBE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3841 PIPER ST, SUITE T230, ANCHORAGE, AK 99508
(907) 279-8800
(907) 279-8810
Mailing address
3841 PIPER ST, SUITE T230, ANCHORAGE, AK 99508
(907) 279-8800
(907) 279-8810

Taxonomy

Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
1275
AK
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
1275
AK
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
1275
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MD12751
AK
Enumeration date
02/07/2006
Last updated
08/26/2013
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