Individual
ELISABETH MARIE SCALVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1333 W 5TH ST STE 210, SHERIDAN, WY 82801-2700
(307) 672-2522
(307) 672-3732
Mailing address
1333 W 5TH ST STE 110, SHERIDAN, WY 82801-2752
(307) 675-4668
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
12968A
WY
207V00000X
Obstetrics & Gynecology Physician
191308
NC
207V00000X
Obstetrics & Gynecology Physician
DR58148
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000148
—
CO
Enumeration date
06/05/2013
Last updated
04/08/2021
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