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Individual

ELIZABETH ISBISTER

Active
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Individual

ELIZABETH ISBISTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
01055513
IN
207KA0200X
Allergy Physician
Primary
99-00243
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000600333
ANTHEM
05
200358190
IN
Enumeration date
02/28/2006
Last updated
07/02/2020
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