Individual
ELIZABETH MCCARTHY DEPAVLOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1585 3RD ST, FORT POLK, LA 71459-5102
(726) 780-2175
Mailing address
1585 3RD ST, FORT POLK, LA 71459-5102
(726) 780-2175
(253) 968-2608
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8361579
ID
208D00000X
General Practice Physician
Primary
8361579
ID
Other
Enumeration date
02/28/2023
Last updated
07/23/2026
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