Doctor Name: | MS. ELIZABETH A GOBBER |
NPI Number: | 1063429660 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 602 |
Business Practice Address: | 202 High St Suite 100 Tecumseh, NE - 684502443 |
Business Phone Number: | 4023352811 |
Business Fax Number: | 4023352826 |
Mailing Address: | Po Box 538, TECUMSEH |
State: | NE |
Postal Code: | 684500538 |
Phone Number: | 4023352811 |
Fax Number: | 4023352826 |
NPI Enumeration Date: | 08/03/2006 |
NPI Last Update Date: | 03/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 602 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |