Individual
ELIZABETH RACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
4100 W 3RD ST, 116, DAYTON, OH 45428-9000
(937) 268-6511
Mailing address
4100 W 3RD ST, 116, DAYTON, OH 45428-9000
(937) 268-6511
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50.004082RX
OH
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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