Individual
ELIZABETH A EHRHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1910 LAKE AVE, PUEBLO, CO 81004-3322
(719) 583-2330
(719) 583-2670
Mailing address
1910 LAKE AVE, PUEBLO, CO 81004-3322
(719) 583-2330
(719) 583-2670
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
37792
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49788817
—
CO
Enumeration date
11/09/2005
Last updated
07/10/2024
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