Individual
DR. ELISABETH A FERLIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9720 S 1300 E, SUITE E230, SANDY, UT 84094-3712
(801) 501-2950
(801) 501-2951
Mailing address
9720 S 1300 E, SUITE E230, SANDY, UT 84094-3712
(801) 501-2950
(801) 501-2951
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
01098927A
IN
208800000X
Urology Physician
036178081
IL
208800000X
Urology Physician
42235
AZ
208800000X
Urology Physician
56312
MN
208800000X
Urology Physician
Primary
9017811-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470009
—
AZ
Enumeration date
05/30/2008
Last updated
03/18/2026
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