Individual
STERLING ELLSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
102 HIGHLAND AVE SE, SUITE 303, ROANOKE, VA 24013-2256
(540) 985-9715
Mailing address
102 HIGHLAND AVE SE, SUITE 303, ROANOKE, VA 24013-2256
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101-057534
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5217435
—
VA
05
—
6211887
—
VA
05
—
6216552
—
VA
05
—
6217427
—
VA
Enumeration date
03/14/2006
Last updated
05/07/2008
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