IndividualActive
Dennard Ellison, MD
NPI 1285728659 · Otolaryngology Physician · Alamosa, CO
Provider details
- NPI number
- 1285728659
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 20020441 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
106 Blanca Ave
San Luis Valley Regional Medical Center
Alamosa, CO 81101-2340
Phone: (719) 589-8025
Fax: (719) 589-8087
Approximate (ZIP-level) locationGet directions
Mailing address
106 Blanca Ave
Alamosa, CO 81101-2340
Registry dates
- Enumerated
- 2006-10-03
- Last updated
- 2021-05-05
- Certified
- 2021-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.