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Individual

DR. MARC A ELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5510 ALMA LN, SPRINGFIELD, VA 22151-4012
(703) 642-5990
(703) 642-5003
Mailing address
5510 ALMA LN, SPRINGFIELD, VA 22151-4012
(703) 642-5990
(703) 642-5003

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101044984
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0101444
UNITED HEALTH MID-ATLANTI
VA
01
0101471
UNITED HEALTH VIRGINIA
VA
01
1068214
AFFORDABLE FIRST HEALTH
VA
01
125579
ONE HEALTH GREATWEST
VA
01
2009266
AETNA/US HEALTHCARE
VA
01
205693
ANTHEM HEALTHKEEPERS
VA
01
257640
MDIPA/OPTIMUM CHOICE/MAMS
VA
01
45560010
BCBS DC/CAPCARE
VA
01
505110
NCPPO
VA
01
5298516
AHP MGD CHOICE
VA
01
5325453-019
CIGNA HMO
VA
05
5635110
VA
Enumeration date
07/22/2005
Last updated
07/09/2007
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