Natasha Ellwood, PA

NPI #1205265774 in Basalt, Colorado

Provider Information

NPI Number: 1205265774
Entity Type: Individual
Name: Natasha Ellwood, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Nov 5, 2013
Last Updated: Jun 7, 2022

Practice Location

Address: 123 EMMA RD
City: Basalt
State: Colorado
ZIP Code: 81621-9169
Phone: (970) 945-2840

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Physician Assistant	363A00000X	Primary

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