MICHAEL R ELLWOOD

SPRINGFIELD, VA
NPI1073726691
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CT  000547)
Enumeration Date2007-05-08
Last Update Date2007-07-08
Business Address
-- MICHAEL R ELLWOOD MS, PA-C
6030 SELWOOD PL
SPRINGFIELD, VA 22152-1412
Phone number: 703-569-1451
Mailing Address
-- MICHAEL R ELLWOOD MS, PA-C
6030 SELWOOD PL
SPRINGFIELD, VA 22152-1412
Phone number: 703-569-1451
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