Individual
MR. ROBERT MCNELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
12004 QUARUM PL, BOWIE, MD 20720-4380
(301) 262-1678
Mailing address
12004 QUARUM PL, BOWIE, MD 20720-4380
(301) 262-1678
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MD
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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