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Individual

ELIZABETH H. GAUGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1650 1ST AVE NE, CEDAR RAPIDS, IA 52402-5431
(319) 362-3937
Mailing address
1650 1ST AVE NE, CEDAR RAPIDS, IA 52402-5431
(319) 362-3937

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
30416
OK
207W00000X
Ophthalmology Physician
Primary
43073
IA
207W00000X
Ophthalmology Physician
59899
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200536140A
OK
Enumeration date
04/20/2010
Last updated
12/17/2015
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