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Dr. Clinton Ellingson, MD
Retina Specialist (Ophthalmology) Physician in Idaho Falls, Idaho
NPI 1326332776

Clinton Ellingson is a Retina Specialist (Ophthalmology) Physician based in Idaho Falls, ID and is specialized in Retina Specialist. Clinton Ellingson practices in Idaho Falls, ID and has the professional credentials of MD. The NPI Number for Clinton Ellingson is 1326332776 and holds a License No. 49026 (Idaho).

The current practice location address for Clinton Ellingson is 2100 Providence Way, Idaho Falls, ID and can be reached out via phone at 208-529-6600 and via fax at 208-529-6602.

Location: 2100 Providence Way, Idaho Falls, ID, 83404-4951
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326332776
Provider Name
Clinton Ellingson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2100 Providence Way, Idaho Falls, ID, 83404-4951
Phone Number
208-529-6600
Fax Number
208-529-6602
Provider Enumeration Date
06/02/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1326332776 05 WV
0160321 05 OH
1326332776 05 ID
7100279250 05 KY
300021246 05 IN
institution
Provider Business Practice Location Address Details
Address
2100 Providence Way
City
Idaho Falls
State
Idaho
Zip
83404-4951
Phone Number
208-529-6600
Fax Number
208-529-6602
person
Provider Business Mailing Address Details
Address
2100 Providence Way
City
Idaho Falls
State
Idaho
Zip
83404-4951
Phone Number
208-529-6600
Fax Number
208-529-6602
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
-
Taxonomy
207W00000X
License No.
01080410A (Indiana)
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
Retina Specialist
Taxonomy
207WX0107X
License No.
49026 (Kentucky)
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
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