Organization
MISSOURI VALLEY SPORTS MEDICINE AND ORTHOPEDICS INC
Active
Organization
MISSOURI VALLEY SPORTS MEDICINE AND ORTHOPEDICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN ELLEFSEN D.O. (OWNER/PHYSICIAN)
(660) 826-5750
Entity
Organization
Contact information
Practice address
2100 W MAIN ST, SEDALIA, MO 65301-2351
(660) 826-5750
(660) 829-0213
Mailing address
2100 W MAIN ST, SEDALIA, MO 65301-2351
(660) 826-5750
(660) 829-0213
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
R5N34
MO
Other
Enumeration date
09/23/2015
Last updated
06/06/2022
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