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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