Provider Demographics
NPI:1386986917
Name:PIGMAN, ELAINE CLARK (MD)
Entity type:Individual
Prefix:
First Name:ELAINE
Middle Name:CLARK
Last Name:PIGMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ALASKA RADIOLOGY ASSOCIATES
Mailing Address - Street 2:3650 PIPER ST. SUITE A
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508
Mailing Address - Country:US
Mailing Address - Phone:601-479-7788
Mailing Address - Fax:
Practice Address - Street 1:ALASKA RADIOLOGY ASSOCIATES
Practice Address - Street 2:3650 PIPER ST. SUITE A
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508
Practice Address - Country:US
Practice Address - Phone:601-479-7788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-21
Last Update Date:2019-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
UT9164164-12052085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program