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Dr. Steven Phillip Ellis JR., MD
Clinical Neurophysiology Physician in Springfield, Missouri
NPI 1821431123

Steven Phillip Ellis JR. is a Clinical Neurophysiology Physician based in Springfield, MO and is specialized in Clinical Neurophysiology. Steven Phillip Ellis JR. practices in Springfield, MO and has the professional credentials of MD. The NPI Number for Steven Phillip Ellis JR. is 1821431123 and holds a License No. R1743 (Missouri).

The current practice location address for Steven Phillip Ellis JR. is 3801 S National Ave Ste 900, Springfield, MO and can be reached out via phone at 417-875-3087. You can also correspond with Steven Phillip Ellis JR. through the mailing address at PO BOX 9007, SPRINGFIELD, MO - 65808-9007 (mailing address contact number: 417-875-3000).

Location: 3801 S National Ave Ste 900, Springfield, MO, 65808-9007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821431123
Provider Name
Steven Phillip Ellis JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3801 S National Ave Ste 900, Springfield, MO, 65808-9007
Phone Number
417-875-3087
Fax Number
Provider Enumeration Date
04/17/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1821431123 05 MO
institution
Provider Business Practice Location Address Details
Address
3801 S National Ave Ste 900
City
Springfield
State
Missouri
Zip
65807
Phone Number
417-875-3087
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 9007
City
Springfield
State
Missouri
Zip
65808-9007
Phone Number
417-875-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
2018014545 (Missouri)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Clinical Neurophysiology
Taxonomy
2084N0600X
License No.
R1743 (Texas)
Definition
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
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