Individual
MR. GARTH ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
LANGLEY AFB HOSPITAL, HAMPTON, VA 23665
(757) 764-6950
Mailing address
207 LOYAL LN, NEWPORT NEWS, VA 23602-6268
(757) 764-6950
(757) 764-0786
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110 001052
VA
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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