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Individual
ELIZABETH SCOTT WASSON
Active
Individual
ELIZABETH SCOTT WASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
A126381
CA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
A126381
CA
207R00000X
Internal Medicine Physician
Primary
A126381
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300432
BOARD CERTIFICATION-INTERNAL MEDICINE
CA
01
—
A126381
PHYSICIAN AND SURGEON
CA
Enumeration date
11/28/2007
Last updated
10/12/2017
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