CLINTON ELLINGSON

IDAHO FALLS, ID
NPI1326332776
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207WX0107X Ophthalmology Retina Specialist
(Licence: ID  M-15285)
Additional Taxonomies207W00000X Ophthalmology
(Licence: KY  49026)
207W00000X Ophthalmology
(Licence: IN  01080410A)
207WX0107X Ophthalmology Retina Specialist
(Licence: KY  49026)
Enumeration Date2011-06-02
Last Update Date2021-08-05
Business Address
DR. CLINTON ELLINGSON MD
2100 PROVIDENCE WAY
IDAHO FALLS, ID 83404-4951
Phone number: 208-529-6600
Mailing Address
DR. CLINTON ELLINGSON MD
2100 PROVIDENCE WAY
IDAHO FALLS, ID 83404-4951
Phone number: 208-529-6600