Individual
ANDREW R ELLIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
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
—
753094867001
ROCKY MTN HMO
CO
01
—
75309486701
PACIFICARE
CO
01
—
E53734
FEDERAL BLUE CROSS
—
01
—
EL8243
BLUE SHIELD
CO
Enumeration date
09/16/2006
Last updated
10/22/2007
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