Individual
MRS. ELIZABETH A ELDENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
34509 9TH AVE S STE 204, FEDERAL WAY, WA 98003-8708
(253) 835-5510
(253) 835-5511
Mailing address
34509 9TH AVE S STE 204, FEDERAL WAY, WA 98003-8708
(253) 835-5510
(253) 835-5511
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA60910425
WA
363AS0400X
Surgical Physician Assistant
60910425
WA
363AS0400X
Surgical Physician Assistant
Primary
PA60910425
WA
Other
Enumeration date
11/27/2018
Last updated
04/19/2021
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