Individual
ELIZABETH GRACE SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-1000
Mailing address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-1000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00022365
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0270550
L&I
WA
05
—
1012897
—
WA
01
—
G8895320
MEDICARE
WA
01
—
SA4585
REGENCE
—
Enumeration date
12/13/2005
Last updated
02/26/2016
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