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Individual

ELIZABETH GROSHONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
DOS638
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020824-9
HMSA
HI
05
07919903
HI
Enumeration date
07/07/2005
Last updated
10/17/2017
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