Individual
ELIZABETH JANE DEMAGNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
705 E VIRGINIA WAY, SUITE A, BARSTOW, CA 92311-3955
(760) 256-2181
(760) 256-2277
Mailing address
705 E VIRGINIA WAY, SUITE A, BARSTOW, CA 92311-3978
(760) 256-2181
(760) 256-2277
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
A47902
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A479020
—
CA
Enumeration date
09/15/2006
Last updated
04/08/2016
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