Individual
ELIZABETH STEPHENSON LONGINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 PASTEUR DR, PALO ALTO, CA 94304-2203
(650) 725-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A193522
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A193522
MEDICAL BOARD OF CALIFORNIA
CA
Enumeration date
04/24/2019
Last updated
07/23/2024
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