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Individual

EDWARD F ELLERBECK

Active
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Individual

EDWARD F ELLERBECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-20890
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100181080A
KS
01
11549075
BCBS KC
MO
05
202115010
MO
01
625720
FIRSTGUARD
KS
Enumeration date
10/04/2006
Last updated
12/29/2014
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