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Individual

MR. RONALD ELLYSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
60 INGALLS RD BLDG 82, STE. 412, FORT MONROE, VA 23651-1032
(757) 788-4768
(757) 788-2962
Mailing address
1058 CLIPPER DR, HAMPTON, VA 23669-1025
(757) 850-8181

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
12/21/2006
Last updated
07/08/2007
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