Eileen Jane Ebenger PA-C

NPI 1265750608 - Physician Assistant - 363A00000X

NPI Details
NPI 1265750608
Gender Female
Enumeration Date 05/10/2010
Last Updated 06/15/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
4881 SUGAR MAPLE DR BLDG 830
88 MDG/MDOS/SGOP
DAYTON OH, 45433-5529, US
Phone (937) 257-9700
Fax
Business Location
4881 SUGAR MAPLE DR BLDG 830
88 MDG/MDOS/SGOP
DAYTON OH, 45433-5529, US
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State
License Number
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According to our database, Eileen Jane Ebenger PA-C NPI is 1265750608, taxonomy code is 363A00000X Eileen Jane Ebenger PA-C physically located at 4881 Sugar Maple Dr Bldg 830, Dayton OH, 45433-5529. NPI Number Eileen Jane Ebenger PA-C has the Individual type.

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1265750608 NPI number is provided on an as is basis without warranty of any kind. 1265750608 is maintained by the National Plan & Provider Enumeration System. The contents of Eileen Jane Ebenger PA-C are for informational purposes only.