Individual
DR. ELIZABETH MARIE CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2367
(360) 501-3601
(360) 501-3648
Mailing address
1115 SE 164TH AVE, DEPT 358, VANCOUVER, WA 98683-9324
(360) 729-1462
(360) 729-3104
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
49674020
WI
207R00000X
Internal Medicine Physician
Primary
MD60546585
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2045021
—
WA
05
—
500686911
—
OR
Enumeration date
10/23/2006
Last updated
03/16/2016
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