Elizabeth Stelz D O Inc a Medical Corporation

Organization Active NPI Family Medicine Physician · Mount Shasta, CA

NPI 1104148550 · NPPES record last updated May 3, 2010

Key facts

NPI
1104148550
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
License
20A7923 (CA)
Legal business name
ELIZABETH STELZ D O INC A MEDICAL CORPORATION
Practice address
914 Pine St
Mount Shasta, CA 96067-2143
Phone
(530) 926-6111
NPI assigned
Feb 25, 2010
Organization subpart
No

Authorized official

Name
Elizabeth Stelz, DO
Title
President
Phone
(530) 926-6111

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X 20A7923 CA Yes

Addresses

Primary practice location

914 Pine St
Mount Shasta, CA 96067-2143

Mailing address

PO Box 496084
Redding, CA 96049-6084
Phone (530) 241-0473

Other providers in Mount Shasta, CA

All providers in Mount Shasta, CA · Family Medicine Physician in California

Sources for this page

Verify at the official NPI Registry.