Individual
DR. JAMES H. ELLEGOOD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
419 S 5TH ST, DE SOTO, MO 63020-1905
(636) 586-4443
Mailing address
419 S 5TH ST, DE SOTO, MO 63020-1905
(636) 586-4443
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
R5C24
MO
Other
Enumeration date
09/29/2005
Last updated
07/08/2007
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