Individual
ELLIOTT LEVI STRUBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6500 HOSPITAL DR, HANNIBAL, MO 63401-6890
(573) 629-3441
(573) 629-3416
Mailing address
PO BOX 1239, HANNIBAL, MO 63401-1239
(573) 629-3441
(573) 629-3416
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
1377
NE
208000000X
Pediatrics Physician
Primary
2020033146
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2014
Last updated
06/30/2021
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