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NPI Code Detail

MEDICARE: ELLEN ELIZABETH CLAXTON MD

MEDICARE: ELLEN ELIZABETH CLAXTON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VG0400XGynecology PhysicianMD60426326WA
2207V00000XObstetrics & Gynecology Physician23433AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306839840
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELLEN ELIZABETH CLAXTON MD
Provider Business Mailing Address
First Line : PO BOX 3630
Second Line :
City : FLAGSTAFF
State : AZ
Zip : 86003-3630
Country : US
Telephone Number : 928-233-5110
Fax Number : 928-774-6687
Provider Business Practice Location Address
First Line : 340 S WILLARD ST STE 101
Second Line :
City : COTTONWOOD
State : AZ
Zip : 86326-4126
Country : US
Telephone Number : 928-634-2015
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2005
Last Update Date : 06/24/2025

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Directions to “ ELLEN ELIZABETH CLAXTON MD” Practice Location

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