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ELIZABETH ANN GRACE-CRUZ M.D.

Physicians Psychiatry & Neurology Child & Adolescent Psychiatry

Provider NPI: 1801080072

Provider Information:
 ELIZABETH ANN GRACE-CRUZ M.D.
Gender: F
Not Sole Proprietor

Practice Location:
4400 W 69TH ST STE 1500 SIOUX FALLS, SD 57108-8171 US
Tel: 605-322-5700  Fax: 605-322-5704

Business Mailing Address:
PO BOX 86370  SIOUX FALLS, SD 57118-6370 US
Tel: 605-322-7510  Fax: 605-322-6475

NPI Information:
NPI: 1801080072
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2084P0804XPhysicians
Psychiatry & Neurology
Child & Adolescent Psychiatry
SD7152

Other Provider Identifiers:

IssuerNumberStateType
ARAZ/AMERICAS PPO1801080072SD01
CC SYSTEMS/BLUE PLUS35M46GR01
MIDLANDS CHOICE25553401
SANFORD HEALTH PLAN65691SD01
BLUE CROSS BLUE SHIELD4992328SD01
7101980SD05
DAKOTACARE715201



American Medical Association 2012 taxonomy code information

Code: 2084P0804X

Type:

Classification:



Definition:



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