Michael R Ellwood, MS, PA-C

NPI #1073726691 in Springfield, Virginia

Provider Information

NPI Number: 1073726691
Entity Type: Individual
Name: Michael R Ellwood, MS, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: MS, PA-C
Enumeration Date: May 8, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 6030 SELWOOD PL
City: Springfield
State: Virginia
ZIP Code: 22152-1412
Phone: (703) 569-1451

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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