Provider Demographics
NPI:1699208579
Name:FIX, ELIZABETH PAGE (MD)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:PAGE
Last Name:FIX
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PRESBYTERIAN HEALTHCARE SERVICES
Mailing Address - Street 2:4801 BECKNER RD SUITE 1600
Mailing Address - City:SANTE FE
Mailing Address - State:NM
Mailing Address - Zip Code:87507
Mailing Address - Country:US
Mailing Address - Phone:505-772-2000
Mailing Address - Fax:
Practice Address - Street 1:PRESBYTERIAN HEALTHCARE SERVICES
Practice Address - Street 2:4801 BECKNER RD SUITE 1600
Practice Address - City:SANTE FE
Practice Address - State:NM
Practice Address - Zip Code:87507
Practice Address - Country:US
Practice Address - Phone:505-772-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-06
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NMMD2021-0768208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program