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Contact Information

ELLIS R TAYLOR JR, MD
232 S WOODS MILL RD
CHESTERFIELD, MO63017
 Phone: 314-205-6917
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for ELLIS R TAYLOR JR · (Male)

NPI Number 1033229117
Status Active
Credentials MD
Entity Individual
Enumeration date 08/30/2006
Last updated 01/02/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • MO License # R1C18
  • MO Medicaid 202212783
Hospital affiliation(s)
  • ST LUKES HOSPITAL - (Acute Care)
    232 S WOODS MILL RD
    CHESTERFIELD, MO 63017
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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