Individual
DR. ANDREW EDWARD ELLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3801 S NATIONAL AVE, SPRINGFIELD, MO 65807-5210
(417) 269-4550
(417) 269-4558
Mailing address
1000 E PRIMROSE ST, SPRINGFIELD, MO 65807-5154
(417) 269-4550
(417) 269-4558
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2006027972
MO
Other
Enumeration date
10/02/2006
Last updated
09/22/2009
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