Individual
DR. ELLIS BOISVERT JOHNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
351 VALLEY HEALTH WAY # 300, FRONT ROYAL, VA 22630-6480
(540) 631-3700
Mailing address
351 VALLEY HEALTH WAY # 300, FRONT ROYAL, VA 22630-6480
(540) 631-3700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0116023275
VA
Other
Enumeration date
05/14/2011
Last updated
08/19/2021
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