Individual
ELISABETH A MATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 MEDICAL PKWY, CARSON CITY, NV 89703-4625
(775) 445-8795
(775) 445-5175
Mailing address
PO BOX 3299, CARSON CITY, NV 89702-3299
(509) 665-6065
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
15457
NV
208M00000X
Hospitalist Physician
MD00037050
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0177914
L&I
WA
05
—
8239931
—
WA
Enumeration date
07/18/2006
Last updated
12/09/2015
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