Individual
DR. STEVEN PHILLIP ELLIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3801 S NATIONAL AVE STE 900, SPRINGFIELD, MO 65807
(417) 875-3087
Mailing address
PO BOX 9007, SPRINGFIELD, MO 65808-9007
(417) 875-3000
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
2018014545
MO
2084N0400X
Neurology Physician
R1743
TX
2084N0600X
Clinical Neurophysiology Physician
Primary
2018014545
MO
2084N0600X
Clinical Neurophysiology Physician
R1743
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821431123
—
MO
Enumeration date
04/17/2013
Last updated
12/10/2025
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