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1033275896
KEITH W. ELLIS
SPRINGFIELD, MO
NPI
1033275896
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MO 2000151548)
Enumeration Date
2006-12-28
Last Update Date
2008-07-14
Business Address
Dr. KEITH W. ELLIS MD
2115 S FREMONT AVE SUITE 2300
SPRINGFIELD, MO 65804-2239
Phone number: 417-820-5600
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Mailing Address
Dr. KEITH W. ELLIS MD
PO BOX 2580
SPRINGFIELD, MO 65801-2580
Phone number: 417-829-4620
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