Doctor Name: | DR. ELIZABETH ANNE REILLY |
NPI Number: | 1013971621 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPM |
License Number: | PO 2990 |
Business Practice Address: | 300 Pasteur Dr Palo Alto, CA - 943052200 |
Business Phone Number: | 6507234000 |
Business Fax Number: | |
Mailing Address: | 300 Pasteur Dr, PALO ALTO |
State: | CA |
Postal Code: | 943052200 |
Phone Number: | 6507234000 |
Fax Number: | |
NPI Enumeration Date: | 04/12/2006 |
NPI Last Update Date: | 09/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | PO 2990 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |