Provider Demographics
NPI:1487674420
Name:VORHIS, ELIZABETH BRAY (MD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:BRAY
Last Name:VORHIS
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 1:2008 CARIBOU DR
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-4325
Mailing Address - Country:US
Mailing Address - Phone:970-484-4757
Mailing Address - Fax:970-484-4759
Practice Address - Street 1:1024 S LEMAY AVE
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-3929
Practice Address - Country:US
Practice Address - Phone:970-484-4757
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE362822085R0202X
WY16977A2085R0202X
CODR.00726602085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00345078OtherRAIL ROAD MEDICARE
FL239216OtherAVMED
FL270855OtherAVMED
FL276839900Medicaid
FLP00368377OtherRAIL ROAD MEDICARE
FL76074OtherBLUE CROSS BLUE SHIELD
FL239216OtherAVMED
FLU7915ZMedicare PIN
FLU7915YMedicare PIN
FL270855OtherAVMED
FLP00345078OtherRAIL ROAD MEDICARE
FL276839900Medicaid