Individual
ELIZABETH ANNE COULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
200 WEST ARBOR DRIVE, MC8433, UCSD RESIDENCY OFFICE, SAN DIEGO, CA 92103
(619) 543-6922
Mailing address
1449 ROBINSON AVE, SAN DIEGO, CA 92103-4562
(585) 530-0152
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A154866
CA
390200000X
Student in an Organized Health Care Education/Training Program
253360722
NY
Other
Enumeration date
05/20/2016
Last updated
09/18/2020
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