Individual
DR. ELIZABETH GAIL ISRAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
US HWY 491 NORTH, SHIPROCK, NM 87420
(505) 368-6020
(505) 368-6431
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-6020
(505) 368-6431
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2001221
NM
207P00000X
Emergency Medicine Physician
Primary
G84958
CA
207R00000X
Internal Medicine Physician
2001221
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G849580
—
CA
05
—
473017
—
AZ
05
—
85773280
—
CO
05
—
Z8233
—
NM
Enumeration date
10/26/2005
Last updated
04/30/2008
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