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Individual

ELLY A RANUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
404 N KEENE ST, COLUMBIA, MO 65201-6626
(573) 882-4438
Mailing address
205 PORTLAND ST, COLUMBIA, MO 65201-6521
(573) 884-1245
(573) 884-1151

Taxonomy

Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
2023015015
MO

Other

Enumeration date
07/01/2020
Last updated
08/08/2023
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