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Contact Information

EBEN CLATTENBURG
200 WEST HOSPITAL DRIVE
WHITERIVER, AZ85941
 Phone: 928-338-4911
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for EBEN CLATTENBURG · (Male)

NPI # 1184994857
Status Active
Credentials
Entity Individual
Enumeration date 01/11/2012
Last updated 03/11/2026 - About 3 months ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 59084
Hospital affiliation(s)
  • FLAGSTAFF MEDICAL CENTER - (Acute Care)
    1200 NORTH BEAVER STREET
    FLAGSTAFF, AZ 86001
  • WHITERIVER PHS INDIAN HOSPITAL - (Acute Care)
    200 WEST HOSPITAL DRIVE (PO BOX 860)
    WHITERIVER, AZ 85941
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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