Healthcare Provider Details
I. General information
NPI: 1386870483
Provider Name (Legal Business Name): ELIZABETH S CRAMER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/03/2009
Last Update Date: 06/23/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3056 RIVER CROSSING CT
RIVERSIDE IA
52327-4733
US
IV. Provider business mailing address
200 HAWKINS DR
IOWA CITY IA
52242-1009
US
V. Phone/Fax
- Phone: 319-467-8355
- Fax: 319-467-8351
- Phone: 319-467-8355
- Fax: 319-467-8351
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | MD-39261 |
| License Number State | IA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: