Individual
ELIZABETH WILD BIERER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5300 S SUTTER DR STE A, SHOW LOW, AZ 85901-8054
(928) 251-4244
(833) 539-1739
Mailing address
5300 S SUTTER DR STE A, SHOW LOW, AZ 85901-8054
(928) 251-4244
(833) 539-1739
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44328
AZ
207Q00000X
Family Medicine Physician
A110169
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
609503
—
AZ
Enumeration date
01/26/2010
Last updated
08/16/2021
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