Individual
DR. ELIZABETH GRACE ALTOMARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7530 164TH AVE NE STE A215, REDMOND, WA 98052-7809
(425) 885-9292
Mailing address
2475 140TH AVE NE, BELLEVUE, WA 98005-1892
(425) 460-5600
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101252989
VA
208000000X
Pediatrics Physician
Primary
57092
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245546092
NPI
—
01
—
57092
ARIZONA MEDICAL BOARD
AZ
Enumeration date
08/30/2010
Last updated
04/25/2023
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