Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DENNARD W ELLISON, MD
ActiveOtolaryngology · ALAMOSA, CO
Registration Details
- NPI Number
- 1285728659
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 3, 2006 (19.551731150601 yrs)
- Last Updated
- May 5, 2021
- Licenses
-
20020441 (NM)48628 (CO)
Practice Information
- Address
-
106 BLANCA AVESAN LUIS VALLEY REGIONAL MEDICAL CENTERALAMOSA, CO, 811012340Browse CO providers · Browse ZIP 81101
- Phone
- 7195898025
- Fax
- 7195898087
- Primary Specialty
-
Otolaryngology
207Y00000X
- Additional Specialty
- Otolaryngology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.