Individual
ELIZABETH A GAITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3219 CLIFTON AVE STE 100, CINCINNATI, OH 45220-3035
(513) 862-1888
(513) 862-3616
Mailing address
PO BOX 633448, CINCINNATI, OH 45263-3448
(513) 569-6117
(513) 853-4740
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.002977
OH
Other
Enumeration date
01/11/2010
Last updated
03/10/2017
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