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Individual

PAUL ELLIS ANDREWS

Active
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Individual

PAUL ELLIS ANDREWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R7G74
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110081857
TRAVELERS MCR
05
125807001
AR
01
126814
BCBS
05
1982640694
MO
01
250766
HEALTHLINK
01
431560263
TRICARE
MO
01
82055
AR BLUE SHIELD
AR
01
P00333595
RR MCR
MO
Enumeration date
06/21/2006
Last updated
10/08/2014
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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