Provider Demographics
NPI:1386624963
Name:VOCES, ELIAS A (PA-C)
Entity type:Individual
Prefix:
First Name:ELIAS
Middle Name:A
Last Name:VOCES
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:ELIAS
Other - Middle Name:A
Other - Last Name:VOCES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PA-C
Mailing Address - Street 1:4217 SANDY BAY DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455-1528
Mailing Address - Country:US
Mailing Address - Phone:757-363-8053
Mailing Address - Fax:
Practice Address - Street 1:1550 TOMCAT BLVD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23460-2218
Practice Address - Country:US
Practice Address - Phone:757-314-7260
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical