Provider Demographics
NPI:1720287444
Name:MEADE, ELIZABETH HAMILTON (MD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:HAMILTON
Last Name:MEADE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 25608
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84125-0608
Mailing Address - Country:US
Mailing Address - Phone:206-320-4476
Mailing Address - Fax:206-568-7043
Practice Address - Street 1:747 BROADWAY
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-4379
Practice Address - Country:US
Practice Address - Phone:206-215-2700
Practice Address - Fax:206-215-2702
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-12
Last Update Date:2024-06-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD60151969208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2008440Medicaid