Individual
DR. ELISABETH PROSSER BELLOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
617 VETERANS BLVD., SUITE #107, REDWOOD CITY, CA 94063
(650) 306-8909
(650) 306-8910
Mailing address
617 VETERANS BLVD., SUITE #107, REDWOOD CITY, CA 94063
(650) 306-8909
(650) 306-8910
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G50067
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G50067
LICENSE NUMBER
CA
Enumeration date
12/07/2006
Last updated
01/07/2015
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