Individual
ELLIS J TIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD/PHD
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, SAINT LOUIS, MO 63110-1003
(314) 747-3000
Mailing address
1 BARNES JEWISH HOSPITAL PLZ, SAINT LOUIS, MO 63110-1003
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/15/2025
Last updated
06/27/2025
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