Individual
ELIZABETH ANN BELITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2400 UNSER BLVD SE, ALBUQUERQUE, NM 87124-4740
(505) 720-6353
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2006-0016
NM
Other
Enumeration date
08/30/2006
Last updated
04/27/2018
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