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1801200233
CHASE ELLINGSWORTH
SPRINGFIELD, MO
NPI
1801200233
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 2014018401)
Enumeration Date
2014-06-13
Last Update Date
2018-11-06
Business Address
CHASE ELLINGSWORTH MD
3801 S NATIONAL AVE
SPRINGFIELD, MO 65807-5210
Phone number: 417-269-7728
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Mailing Address
CHASE ELLINGSWORTH MD
PO BOX 4046
SPRINGFIELD, MO 65808-4046
Phone number: 417-269-5712
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