| Dr Thomas E Ellwood, MD | |
|
126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473-8952 | |
| (573) 596-0417 | |
| (573) 596-0524 |
| Full Name | Dr Thomas E Ellwood |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 126 Missouri Ave, Fort Leonard Wood, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700857851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 0101232718 (Virginia) | Primary |
| 208000000X | Pediatrics | 2018-02231 (North Carolina) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas E Ellwood, MD 2864 Woodruff Street Mcxc-pcs-bhc, Fort Bragg, NC 28310-0001 Ph: (910) 570-3077 | Dr Thomas E Ellwood, MD 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473-8952 Ph: (573) 596-0417 |
Andrea Stephenson, Pediatrics Medicare: Medicare Enrolled Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 808-735-9617 | |
Egberto Toro, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave, Attn: Mcxp-ccs-cr (credentials), Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524 | |
Dr. Elena A Rostapshova, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524 | |
Erica Marie Grimm, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-1766 | |
Dr. Roman Oleh Bilynsky, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 126 Missouri Avenue, Glwach - Attn: Credentials Office, Fort Leonard Wood, MO 65473 Phone: 573-596-0415 Fax: 573-596-0524 | |
Nicholas Clark, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 800-874-2273 |