STEPHEN ELLEDGE

SCOTT AFB, IL
NPI1063829653
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2014-07-16
Last Update Date2018-06-13
Business Address
STEPHEN ELLEDGE P.A.
310 W LOSEY ST
SCOTT AFB, IL 62225
Phone number: 618-256-7804
Mailing Address
STEPHEN ELLEDGE P.A.
310 W LOSEY ST
SCOTT AFB, IL 62225-5250
Phone number: 618-256-7804
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