Clark A. Elliott
Otolaryngologist (ENT Doctor) Pediatric Otolaryngology
2422 20th St Sw
Jamestown
, North Dakota 58401-6201
Clark A. Elliott
Otolaryngologist (ENT Doctor) Pediatric Otolaryngology
2422 20th St Sw
Jamestown
, North Dakota 58401-6201
(701) 252-1050
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
- Pediatric Otolaryngology
Languages spoken
- English
Location
First Address
- Clark A. Elliott
- 2422 20th St Sw
- Jamestown, ND
- Zip : 58401-6201
- Phone : (701) 252-1050
Second Address
- Clark A. Elliott
- 2422 20th St Sw
- Jamestown, ND
- Zip : 58401-6201
- Fax : (701) 252-3265
- Phone : (701) 252-1050
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 12266 | ND |
| N | 207Y00000X | Otolaryngologist (ENT Doctor) | 41717 | KY |
| N | 207YP0228X | Pediatric Otolaryngology | 41717 | KY |
National Provider Identifier
| NPI | 1871540567 |
|---|---|
| Provider Name | Clark A. Elliott |
| First Address | Jamestown, ND 58401-6201 |
| Second Address | Jamestown, ND 58401-6201 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/05/2006 |
| Last Update Date | 26/01/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.