Provider Demographics
NPI:1609982875
Name:NUTI, ELIZABETH GOEBEL (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:GOEBEL
Last Name:NUTI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:225 DEVONSHIRE CT
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523
Mailing Address - Country:US
Mailing Address - Phone:925-933-2366
Mailing Address - Fax:
Practice Address - Street 1:NIGHT OWL PEDIATRICS 425 GREGORY LANE
Practice Address - Street 2:SUITE 203
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523
Practice Address - Country:US
Practice Address - Phone:925-288-3600
Practice Address - Fax:925-288-3606
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA068426208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics