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1982714804
MARK R. ELLIS
SPRINGFIELD, MO
NPI
1982714804
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 103675)
Enumeration Date
2006-08-30
Last Update Date
2018-03-26
Business Address
Dr. MARK R. ELLIS MD
2900 S NATIONAL AVE
SPRINGFIELD, MO 65804-3634
Phone number: 417-269-1499
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Mailing Address
Dr. MARK R. ELLIS MD
PO BOX 4046
SPRINGFIELD, MO 65808-4046
Phone number: 417-269-5712
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