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Individual

ELIZABETH ELANDER

Active
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Individual

ELIZABETH ELANDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
072097
IA
363AS0400X
Surgical Physician Assistant
Primary
PA61229708
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2201628
WA
Enumeration date
02/13/2014
Last updated
05/13/2024
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