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Search › Arizona › 1223G0001X

Mark Ellicson, DMD

NPI 1568664365 · on the registry since 2007 · sole proprietor

Practice

Address
33725 N Scottsdale Rd
Ste101
Scottsdale, AZ 85262
Phone
(480) 515-5215
Organisation at this address
Vein & Aesthetics Of North Scottsdale Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona