STEPHEN ELLEDGE

JBSA LACKLAND, TX
NPI1063829653
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
Additional Taxonomies171000000X Military Health Care Provider
363A00000X Physician Assistant
Enumeration Date2014-07-16
Last Update Date2025-03-24
Business Address
STEPHEN ELLEDGE P.A.
1100 WILFORD HALL LOOP FL 1
JBSA LACKLAND, TX 78236-5638
Phone number: 210-292-3473
Mailing Address
STEPHEN ELLEDGE P.A.
1100 WILFORD HALL LOOP FL 1
JBSA LACKLAND, TX 78236-5638
Phone number: 210-292-3473