Individual
DR. BRIAN K ELLEFSEN
Active
Individual
DR. BRIAN K ELLEFSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
DOR5N34
MO
207X00000X
Orthopaedic Surgery Physician
Primary
R5N34
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200015237
RR MEDICARE
MO
Enumeration date
09/26/2006
Last updated
06/06/2022
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