NPI 1003872714

Elbert Stinson Tillerson, MD

Practitioner Hospitalist Physician Jefferson City, MO

Practice location

Address: 1125 Madison St., Jefferson City, MO 65102-1128
Phone: (573) 635-7651
Fax: (573) 659-4515

Registered specialties (2)

Hospitalist Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208M00000X Licence 2011041481 (MO)

Other Hospitalist providers in Missouri →

Psychiatry Physician

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 2011041481 (MO)

Other Psychiatry & Neurology providers in Missouri →

Registry record

NPI: 1003872714
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Apr 2006
Record last updated: 15 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.