Individual
MRS. ELIZABETH J. DUBOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
798 S WINCHESTER BLVD, SAN JOSE, CA 95128-2928
(408) 984-7226
Mailing address
PO BOX 1631, EVANSVILLE, IN 47706-0032
(844) 825-9300
(775) 852-6902
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G74545
CA
2085R0001X
Radiation Oncology Physician
Primary
G74545
CA
2085R0202X
Diagnostic Radiology Physician
32676
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124081245
—
CA
Enumeration date
04/10/2006
Last updated
09/19/2024
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