Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | E5492 | CA |
N | 222Z00000X | Podiatrist | E5492 | CA |
N | 213EP1101X | Primary Podiatric Medicine | E5492 | CA |
N | 2081S0010X | Sports Medicine | E5492 | CA |
N | 213ES0000X | Sports Medicine | E5492 | CA |
N | 213ES0103X | Foot & Ankle Surgery | 9832253-0501 | UT |
Y | 213ES0103X | Foot & Ankle Surgery | E5492 | CA |
N | 213ES0131X | Foot Surgery | E5492 | CA |
NPI | 1205214053 |
---|---|
Provider Name | Dr. Elizabeth Tronstein |
First Address | North Salt Lake, UT 84054-0610 |
Second Address | West Jordan, UT 84088-5763 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2015 |
Last Update Date | 04/02/2022 |