Individual
ELIZABETH ANNE REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
300 PASTEUR DR, PALO ALTO, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, PALO ALTO, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5119
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
5119
CA
213ES0131X
Foot Surgery Podiatrist
PO 2990
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201678195 0002
CIGNA
—
01
—
201678195 33444 A001
TRICARE
—
01
—
65865
BCBS OF FL
FL
Enumeration date
04/12/2006
Last updated
04/27/2024
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