Individual
DR. BARBARA A ELLZEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11123 S TOWNE SQ, SUITE E, SAINT LOUIS, MO 63123-7816
(314) 487-4537
(314) 487-8971
Mailing address
424 CONWAY WOLD BYWAY, SAINT LOUIS, MO 63141-8637
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R9742
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036116352
—
IL
05
—
1235116492
—
MO
Enumeration date
12/29/2005
Last updated
10/14/2008
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