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Contact Information

CLIFFORD ELLINGSON, MD
3200 PROVIDENCE DR
ANCHORAGE, AK99508-4615
 Phone: 907-212-3433
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CLIFFORD ELLINGSON · (Male)

NPI # 1922360619
Status Active
Credentials MD
Entity Individual
Enumeration date 06/09/2012
Last updated 08/10/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • AK License # 119197
  • AZ License # R73235
Hospital affiliation(s)
  • PROVIDENCE ALASKA MEDICAL CENTER - (Acute Care)
    BOX 196604
    ANCHORAGE, AK 99508
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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