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NPI Code Detail

MEDICARE: EMILY ANN EBERT M.D., M.P.H.

MEDICARE:   EMILY ANN EBERT  M.D., M.P.H.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianA45022CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730194127
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY ANN EBERT M.D., M.P.H.
Provider Business Mailing Address
First Line : P.O. BOX 5157
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92412-5157
Country : US
Telephone Number : 909-580-6240
Fax Number : 909-580-6308
Provider Business Practice Location Address
First Line : ARROWHEAD REGIONAL MEDICAL CENTER
Second Line : 400 N. PEPPER AVE
City : COLTON
State : CA
Zip : 92324-1819
Country : US
Telephone Number : 909-580-6240
Fax Number : 909-580-6308
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2006
Last Update Date : 07/08/2007

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