Individual
ELIZABETH ANN GROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 W 8TH AVE STE 1400, SPOKANE, WA 99204-2307
(509) 474-2200
(509) 227-7070
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 474-2200
(509) 227-7070
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
MD00038997
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010143078
BLUE SHIELD OF IDAHO
WA
01
—
0161841
LABOR & INDUSTRIES
WA
01
—
4664303
AETNA
—
05
—
805800300
—
ID
05
—
8257594
—
WA
01
—
8340GR
ASURIS NW HEALTH
WA
01
—
980000405
RAILROAD MEDICARE
—
01
—
KR819
BLUE CROSS OF IDAHO
WA
Enumeration date
09/23/2005
Last updated
05/25/2021
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