Bradley Alan Ebel DO

NPI 1053301879 - Radiology - 2085R0202X

NPI Details
NPI 1053301879
Gender Male
Enumeration Date 10/24/2005
Last Updated 07/03/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
770 PINE ST STE 290
ATTN: RADIOLOGY DEPARTMENT
MACON GA, 31201-7516, US
Phone (478) 743-1458
Fax (478) 755-1332
Business Location
770 PINE ST STE 290
ATTN: RADIOLOGY DEPARTMENT
MACON GA, 31201-7516, US
Phone (478) 743-1458
Fax (478) 755-1332
Toxanomy
Taxonomy Code 2085R0202X
License State Georgia
License Number 50158
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According to our database, Bradley Alan Ebel DO NPI is 1053301879, taxonomy code is 2085R0202X and license number is 50158, license state is located at Georgia. Bradley Alan Ebel DO physically located at 770 Pine St Ste 290, Macon GA, 31201-7516. NPI Number Bradley Alan Ebel DO has the Individual type.

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1053301879 NPI number is provided on an as is basis without warranty of any kind. 1053301879 is maintained by the National Plan & Provider Enumeration System. The contents of Bradley Alan Ebel DO are for informational purposes only.