Individual
ELIZABETH SHANDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
469 HIGHWAY 50, GILLETTE, WY 82718-9330
(307) 387-9850
(307) 387-9890
Mailing address
469 HIGHWAY 50, GILLETTE, WY 82718-9330
(307) 387-9850
(307) 387-9890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17300A
WY
207R00000X
Internal Medicine Physician
OS009248L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2689367000
—
FL
Enumeration date
07/02/2006
Last updated
08/28/2024
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