Diane M Ellis
Medical Specialty
Professional ID
- NPI: 1770527426
- PECOS ID: 9638245756
- Enrollment ID: I20080912000601
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2007
Medical Practices
- Organization Name: Burrell, Inc.
- Group Practice ID assigned by PECOS: 4486548625
- Number of Group Practice member: 58
Location
- Address1: 1300 E Bradford Pkwy
- Address2: Burrell Behavioral Health
- City: Springfield
- State: Missouri
- Zip Code: 65804
- Phone Number: (417)761-5000
Medicare
- Medicare Assignment: Maybe
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):