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Dr. Leslie C Ellwood, MD
Pediatric Optometrist in Fairfax, Virginia
NPI 1992877450

Leslie C Ellwood is a Pediatric Optometrist based in Fairfax, VA and is specialized in Pediatrics. Leslie C Ellwood practices in Fairfax, VA and has the professional credentials of MD. The NPI Number for Leslie C Ellwood is 1992877450 and holds a License No. 0101025766 (Virginia).

The current practice location address for Leslie C Ellwood is 12784 Fox Keep Run, Fairfax, VA and can be reached out via phone at 703-817-1030 and via fax at 703-995-4508.

Location: 12784 Fox Keep Run, Fairfax, VA, 22033-2233
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992877450
Provider Name
Leslie C Ellwood
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
12784 Fox Keep Run, Fairfax, VA, 22033-2233
Phone Number
703-817-1030
Fax Number
703-995-4508
Provider Enumeration Date
11/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
12784 Fox Keep Run
City
Fairfax
State
Virginia
Zip
22033-2233
Phone Number
703-817-1030
Fax Number
703-995-4508
person
Provider Business Mailing Address Details
Address
12784 Fox Keep Run
City
Fairfax
State
Virginia
Zip
22033-2233
Phone Number
703-817-1030
Fax Number
703-995-4508
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Optometrist
Speciality
Pediatrics
Taxonomy
152WP0200X
License No.
0101025766 (Virginia)
Definition
Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.
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