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Spencer Ellis, CASAC

NPI 1851429294 · on the registry since 2007

Practice

Address
2808 S. Picher St.
Joplin, MO 64803
Phone
(417) 347-7700

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri