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Individual

ELIZABETH ANN EMHARDT

Active
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Individual

ELIZABETH ANN EMHARDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01081704A
IN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000001559664
ANTHEM PTAN
IN
01
000001625566
ANTHEM PTAN
IN
05
300010682
IN
Enumeration date
04/02/2016
Last updated
12/02/2024
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