Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 127624 | NC |
Y | 207P00000X | Emergency Physician | DR.0063411 | CO |
NPI | 1003945924 |
---|---|
Provider Name | Dr. Elizabeth Eden Casner |
First Address | Rifle, CO 81650-0912 |
Second Address | Rifle, CO 81650-8510 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2007 |
Last Update Date | 21/02/2020 |