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1528100518
SCOTT A. ELLIS
SPRINGFIELD, MO
NPI
1528100518
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO R5P56)
Enumeration Date
2007-02-13
Last Update Date
2013-05-03
Business Address
Dr. SCOTT A. ELLIS DO
2754 W REPUBLIC RD
SPRINGFIELD, MO 65807-3901
Phone number: 417-881-8812
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Mailing Address
Dr. SCOTT A. ELLIS DO
PO BOX 2580
SPRINGFIELD, MO 65801-2580
Phone number: 417-829-4620
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