Basic Information
Provider Information
NPI: 1730322462
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GIBB
FirstName: ELIZABETH
MiddleName: RACHEL
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: MORRISON
OtherFirstName: ELIZABETH
OtherMiddleName: RACHEL
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: UCSF PEDIATRICS M691
Address2: 505 PARNASSUS BOX 0110
City: SAN FRANCISCO
State: CA
PostalCode: 941430001
CountryCode: US
TelephoneNumber: 4154766245
FaxNumber: 4154764009
Practice Location
Address1: UCSF PEDIATRICS M691
Address2: 505 PARNASSUS BOX 0110
City: SAN FRANCISCO
State: CA
PostalCode: 941430001
CountryCode: US
TelephoneNumber: 4154766245
FaxNumber: 4154764009
Other Information
ProviderEnumerationDate: 04/10/2009
LastUpdateDate: 04/10/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000XA107119CAY Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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