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Organization

ELIZAGA & ELIZAGA ASSOCIATES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TEODORA BALQUIEDRA ELIZAGA M.D. (PRESIDENT)
(740) 282-5349
Entity
Organization

Contact information

Practice address
1524 SUNSET BLVD, SUITE C, STEUBENVILLE, OH 43952-1380
(740) 282-5349
(740) 282-5340
Mailing address
1524 SUNSET BLVD, SUITE C, STEUBENVILLE, OH 43952-1380
(740) 282-5349
(740) 282-5340

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
35.037113
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000128366
BCBS PROVIDER NUMBER
OH
01
0022513
BOX 24K MT STATE BCBS
OH
01
095443212001
MED MUT PROVIDER NUMBER
OH
01
1807015000
WV WELFARE PROVIDER #
OH
01
A37113
HEALTH PLAN PROVIDER #
OH
Enumeration date
10/24/2006
Last updated
04/20/2008
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