SearchIdaho2080P0206X

Jason Ellison, MD

NPI 1740231455 · on the registry since 2006

Practice

Address
1072 N Liberty St
Ste 200
Boise, ID 83704
Phone
(208) 302-4600
Fax
(208) 302-4655
Organisation at this address
Bryan J Anderson Md Pc
Shauna T Williams Md Pa
Treasure Valley Colon & Rectal Clinic Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
81

Registry record

Primary taxonomy
2080P0206X
2080P0206X
Also registered as
208000000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-04-25

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 Idaho