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Individual

ELLIOTT L HIX JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
RR 1 BOX 53, MEMPHIS, MO 63555-9767
(660) 465-8511
(660) 465-2365
Mailing address
RR 1 BOX 53, MEMPHIS, MO 63555-9767
(660) 465-8511
(660) 465-2365

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R5B78
MO

Other

Enumeration date
12/13/2005
Last updated
07/08/2007
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