Individual
JAMES ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 S WOODS MILL RD STE 500N, CHESTERFIELD, MO 63017-3640
(314) 205-6699
(314) 590-5923
Mailing address
222 S WOODS MILL RD, SUITE 310N, CHESTERFIELD, MO 63017-3625
(314) 576-6700
(314) 576-6520
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
R9C35
MO
Other
Enumeration date
08/29/2006
Last updated
07/07/2022
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