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Individual
ELIZABETH L SPOMER
Active
Individual
ELIZABETH L SPOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6540A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
311051
BLUE CROSS BLUE SHIELD
WY
01
—
MT MEDICAID
MT MEDICAID
MT
Enumeration date
10/13/2005
Last updated
07/13/2026
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