person
Andy D Ellis, HS2
Military Health Care Provider in Arlington, Virginia
NPI 1265511794

Andy D Ellis is a Military Health Care Provider based in Arlington, VA. Andy D Ellis practices in Arlington, VA and has the professional credentials of HS2. The NPI Number for Andy D Ellis is 1265511794 and holds a License No. (Virginia).

The current practice location address for Andy D Ellis is Uscg Hq, Comdt, Arlington, VA and can be reached out via phone at 757-483-8596 and via fax at 757-483-8596.

Location: Uscg Hq, Comdt, Arlington, VA, 22201
person
Provider Profile Details
NPI Number
1265511794
Provider Name
Andy D Ellis
Credential
HS2
Provider Entity Type
Individual
Gender
Male
Address
Uscg Hq, Comdt, Arlington, VA, 22201
Phone Number
757-483-8596
Fax Number
757-483-8596
Provider Enumeration Date
11/03/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
Uscg Hq, Comdt
City
State
Zip
22201
Phone Number
757-483-8596
Fax Number
757-483-8596
person
Provider Business Mailing Address Details
Address
Uscg Hq, Comdt
City
State
Zip
22201
Phone Number
757-483-8596
Fax Number
757-483-8596
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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