Timothy S. Ellefson D.c.,p.c.

NPI #1508133455 in Union, Missouri

Provider Information

NPI Number: 1508133455
Entity Type: Organization
Organization Name: Timothy S. Ellefson D.c.,p.c.
Primary Specialty: Chiropractor
Enumeration Date: Nov 21, 2011
Last Updated: Nov 21, 2011

Practice Location

Address: 66 KENNEDY ST
City: Union
State: Missouri
ZIP Code: 63084-2011
Phone: (636) 583-2675

Authorized Official

Name: DR. TIMOTHY SCOTT ELLEFSON, D.C.
Title: OWNER
Phone: (636) 583-2675

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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