Trease P Ellison
NPI #1316234214 in West Plains, Missouri
Provider Information
- NPI Number
- 1316234214
- Entity Type
- Individual
- Name
- Trease P Ellison
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist, Other
- Enumeration Date
- Jun 30, 2011
- Last Updated
- Jun 30, 2011
Practice Location
- Address
- 3411 DIVISION DR
- City
- West Plains
- State
- Missouri
- ZIP Code
- 65775-5789
- Phone
- (417) 256-9152
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other |
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