Leslie C Ellwood in Fairfax - Pediatrics

Leslie C Ellwood - NPI 1992877450

Leslie C Ellwood is a Pediatrics in Fairfax, Virginia. Leslie C Ellwood practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Leslie C Ellwood is 1992877450. The last update date is 2007-07-08.

Leslie C Ellwood's current location address is 12784 Fox Keep Run, Fairfax, Virginia. You can contact this provider via phone number 7038171030 and fax number 7039954508. The mailing address for Leslie C Ellwood is 12784 Fox Keep Run, Fairfax, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Leslie C Ellwood
Address 12784 Fox Keep Run, Fairfax, Virginia
Phone Number 7038171030
Fax Number 7039954508
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1992877450
Provider Enumeration Date 2006-11-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 12784 Fox Keep Run
City Fairfax
State Virginia (VA)
Post Code 220332233
Phone Number 7038171030
Fax Number 7039954508

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 152Wp0200X
Licence No 101025766
Definition:
Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.

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FAQs about Leslie C Ellwood

What is the unique identifier code issued to Leslie C Ellwood by the Centers for Medicare & Medicaid Services?

The Leslie C Ellwood has been assigned the NPI (National Provider Identifier) 1992877450. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Leslie C Ellwood is physically located?

The Leslie C Ellwood is situated at the following address: 12784 Fox Keep Run, Fairfax, VA 220332233.

What is Leslie C Ellwood's area of expertise and its corresponding taxonomy classification?

The Leslie C Ellwood's field of specialization is Pediatrics, and it falls under the taxonomy code 152Wp0200X, which categorizes healthcare providers based on their areas of practice.

When did the Leslie C Ellwood receive its 1992877450?

The Leslie C Ellwood was issued its 1992877450 on 2006-11-13, which is the date when the organization was assigned this unique identifier.

When was the information pertaining to Leslie C Ellwood most recently updated or revised?

The details related to Leslie C Ellwood, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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