Individual
ELIZABETH KLAES YORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2710 PROSPERITY AVE, SUITE 200, FAIRFAX, VA 22031-4357
(703) 280-2841
Mailing address
2710 PROSPERITY AVE, SUITE 200, FAIRFAX, VA 22031-4357
(703) 280-2841
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-003471
VA
363AS0400X
Surgical Physician Assistant
0110-003471
VA
Other
Enumeration date
12/16/2010
Last updated
09/04/2012
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