Individual
ELIZABETH ELLEN GLEGHORN
Active
Individual
ELIZABETH ELLEN GLEGHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G 48774
CA
2080P0206X
Pediatric Gastroenterology Physician
Primary
G48774
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G48774
STATE LICENSE
CA
Enumeration date
10/03/2006
Last updated
08/04/2023
Update your record
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