Provider Demographics
NPI:1609196914
Name:HEMPHILL, ELIZABETH JOANNA
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:JOANNA
Last Name:HEMPHILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:JOANNA
Other - Last Name:ELSTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3830 QUIVAS ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-2243
Mailing Address - Country:US
Mailing Address - Phone:720-933-4505
Mailing Address - Fax:
Practice Address - Street 1:5600 S QUEBEC ST
Practice Address - Street 2:#312A
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2207
Practice Address - Country:US
Practice Address - Phone:303-436-2719
Practice Address - Fax:303-436-2710
Is Sole Proprietor?:No
Enumeration Date:2010-06-09
Last Update Date:2014-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT197183208000000X
CODR0052861208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics