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1205844685
RICHARD J. ELLISTON
FORT RILEY, KS
NPI
1205844685
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213ES0131X Podiatrist Foot Surgery
(Licence: HI PO163)
Enumeration Date
2006-08-03
Last Update Date
2007-07-08
Business Address
DR. RICHARD J. ELLISTON DPM
600 CAISSON HILL ROAD IRWIN ARMY COMMUNITY HOSPITAL,
FORT RILEY, KS 66442-5037
Phone number: 785-239-7155
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Mailing Address
DR. RICHARD J. ELLISTON DPM
IRWIN ARMY COMMUNITY HOSPITAL, 600 CAISSON HILL ROAD ATTN: MCXX-CLD-QM (CRED) TERRY HILL
FORT RILEY, KS 66442-5037
Phone number: 785-239-7155
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