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Individual

ELIZABETH M ASHWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 885-3243
(812) 885-3915
Mailing address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 885-3243
(812) 885-3915

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
01036955A
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
0423708
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000083891
ANTHEM
01
000001010207
ANTHEM INDIANA
IN
05
100087780
IN
01
780001516
RAILROAD MEDICARE
01
CB8082
TRICARE
Enumeration date
10/11/2006
Last updated
07/06/2016
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