DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. EDWARD D ELLISON, M.D.

Active

DR. EDWARD D ELLISON, M.D. is a Urology healthcare provider located in COEUR D' ALENE, Idaho. NPI 1346375235 is currently active in the NPPES registry. Verify at CMS.

Urology · COEUR D' ALENE, ID

Registration Details

NPI Number
1346375235
Provider Type
Individual
Gender
Male
NPI Issued
Feb 22, 2007 (19.49182038399 yrs)
Last Updated
May 25, 2012
License
M-8020 (ID)

Practice Information

Address
980 IRONWOOD DR W
STE 104
COEUR D' ALENE, ID, 83814
Browse ID providers · Browse ZIP 83814
Phone
2086670621
Fax
2086641709
Primary Specialty
Urology
208800000X

Other Urology Providers in COEUR D' ALENE, ID

Name Credential NPI
DR. RANDIL L CLARK M.D. 1205961182
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.