Individual
DR. ELIZABETH J GOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 CONSTITUTION DR, SUITE 217, VIRGINIA BEACH, VA 23462-6799
(757) 499-7442
(757) 490-3638
Mailing address
1300 LYNNWOOD DR, VIRGINIA BEACH, VA 23452-6017
(757) 306-8940
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101047362
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105552
ANTHEM BC/BS
—
05
—
1154379022
—
VA
01
—
36465
OPTIMA
—
Enumeration date
05/04/2006
Last updated
12/07/2012
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