Individual
ELLIS BEARDSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6945 TUTT BLVD, COLORADO SPRINGS, CO 80923-3566
(719) 380-7325
Mailing address
1 EMBARCADERO CTR STE 1900, SAN FRANCISCO, CA 94111-3723
(415) 658-6791
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0069235
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/27/2021
Last updated
09/20/2024
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