| Doctor Name: | DR. ELIZABETH BRACKBILL |
| NPI Number: | 1720118268 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | MD024684E |
| Business Practice Address: | 1243 County Welfare Rd Leesport, PA - 195339197 |
| Business Phone Number: | 6103764841 |
| Business Fax Number: | 6103726642 |
| Mailing Address: | 1243 County Welfare Rd, LEESPORT |
| State: | PA |
| Postal Code: | 195339197 |
| Phone Number: | 6103764841 |
| Fax Number: | 6103726642 |
| NPI Enumeration Date: | 03/06/2007 |
| NPI Last Update Date: | 11/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD024684E |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |