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Dr. Mark R. Ellis, MD
Family Medicine Physician in Springfield, Missouri
NPI 1982714804

Mark R. Ellis is a Family Medicine Physician based in Springfield, MO. Mark R. Ellis practices in Springfield, MO and has the professional credentials of MD. The NPI Number for Mark R. Ellis is 1982714804 and holds a License No. 103675 (Missouri).

The current practice location address for Mark R. Ellis is 2900 S National Ave, Springfield, MO and can be reached out via phone at 417-269-1499 and via fax at 417-269-1459.

Location: 2900 S National Ave, Springfield, MO, 65808-4046
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982714804
Provider Name
Mark R. Ellis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2900 S National Ave, Springfield, MO, 65808-4046
Phone Number
417-269-1499
Fax Number
417-269-1459
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
121334 01 BLUE CROSS
208184820 05 MO
institution
Provider Business Practice Location Address Details
Address
2900 S National Ave
City
Springfield
State
Missouri
Zip
65804-3634
Phone Number
417-269-1499
Fax Number
417-269-1459
person
Provider Business Mailing Address Details
Address
2900 S National Ave
City
Springfield
State
Missouri
Zip
65804-3634
Phone Number
417-269-1499
Fax Number
417-269-1459
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
103675 (Missouri)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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