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Individual

DR. RICHARD J. ELLISTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
600 CAISSON HILL ROAD, IRWIN ARMY COMMUNITY HOSPITAL,, FORT RILEY, KS 66442-5037
(785) 239-7155
(785) 239-7364
Mailing address
IRWIN ARMY COMMUNITY HOSPITAL, 600 CAISSON HILL ROAD, ATTN: MCXX-CLD-QM (CRED) TERRY HILL, FORT RILEY, KS 66442-5037
(785) 239-7155
(785) 239-7364

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
PO163
HI

Other

Enumeration date
08/03/2006
Last updated
07/08/2007
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