SearchVirginia363A00000X

Michael Ellwood, MS, PA-C

NPI 1073726691 · on the registry since 2007 · sole proprietor

Practice

Address
6030 Selwood Pl
Springfield, VA 22152
Phone
(703) 569-1451

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia