NPI 1063829653

Stephen Elledge, PA

Practitioner Surgical Physician Assistant Apo, AP

Practice location

Address: 51st Medical Group, Unit 2060, Apo, AP 96278-2060
Phone: (315) 784-6444

Registered specialties (3)

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X

Other Physician Assistant providers in Armed Forces Pacific →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 1118688 (VA)

Military Health Care Provider

Other Service Providers Taxonomy 171000000X

Other Military Health Care Provider providers in Armed Forces Pacific →

Registry record

NPI: 1063829653
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jul 2014
Record last updated: 30 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.