Individual
JAMES THOMAS SELLERS V
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4234 ILLINOIS AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-0417
Mailing address
4234 ILLINOIS AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-0417
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
208000000X
Pediatrics Physician
Primary
35969
NE
Other
Enumeration date
03/04/2022
Last updated
04/28/2026
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