ELLEN MARIE FOUNTAIN

COLUMBIA, MO
NPI1801756739
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2025-11-13
Last Update Date2025-11-13
Business Address
ELLEN MARIE FOUNTAIN
1200 E BROADWAY
COLUMBIA, MO 65215-0001
Phone number: 573-442-2211
Mailing Address
ELLEN MARIE FOUNTAIN
3829 S ROGERS CIR
INDEPENDENCE, MO 64055-3664
Phone number:
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