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Search › Missouri › 208000000X

Andrew Ellis, M.D

NPI 1881006435 · on the registry since 2014

Practice

Address
1465 S Grand Blvd
Saint Louis, MO 63104
Phone
(314) 577-5643
Fax
(314) 268-4019
Organisation at this address
Lifenet, Inc.
St Louis University
St Louis University
St Louis University
St Louis University
Inferred from a shared address, not stated in the registry.
Clinicians at this address
531

Registry record

Primary taxonomy
208000000X
208000000X
Also registered as
208000000X
Licence states on file
IN, MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-09-19

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