Organization
ANDREW R ELLIAS DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW ROBERT ELLIAS D.O. (PRESIDENT)
(719) 540-5700
Entity
Organization
Contact information
Practice address
675 SOUTHPOINTE CT, STE 101, COLORADO SPRINGS, CO 80906-3887
(719) 540-5700
(719) 540-5702
Mailing address
675 SOUTHPOINTE CT, STE 101, COLORADO SPRINGS, CO 80906-3887
(719) 540-5700
(719) 540-5702
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28329
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740386861
PERSONAL NPI NUMBER
CO
Enumeration date
06/12/2007
Last updated
10/23/2007
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