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Individual

ELIZABETH ANNE FAULK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1375 UNIVERSITY ST, HEALDSBURG, CA 95448-3382
(925) 482-8249
(925) 482-2834
Mailing address
1375 UNIVERSITY ST, HEALDSBURG, CA 95448-3382
(925) 482-8249
(925) 482-2834

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
26815
AZ
207P00000X
Emergency Medicine Physician
Primary
C54851
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
435075
AZ
Enumeration date
03/24/2006
Last updated
04/17/2015
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