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Dr. Michael J Ebaugh, MD
Specialist in Porterville, California
NPI 1609965797

Michael J Ebaugh is a Specialist based in Porterville, CA. Michael J Ebaugh practices in Porterville, CA and has the professional credentials of MD. The NPI Number for Michael J Ebaugh is 1609965797 and holds a License No. A65845 (California).

The current practice location address for Michael J Ebaugh is 254 N Kessing St, Porterville, CA and can be reached out via phone at 559-781-8500 and via fax at 559-781-8300.

Location: 254 N Kessing St, Porterville, CA, 93257-3424
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609965797
Provider Name
Michael J Ebaugh
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
254 N Kessing St, Porterville, CA, 93257-3424
Phone Number
559-781-8500
Fax Number
559-781-8300
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ06893Z 01 CA BLUE SHIELD
GR0099940 05 CA
institution
Provider Business Practice Location Address Details
Address
254 N Kessing St
City
Porterville
State
California
Zip
93257-3424
Phone Number
559-781-8500
Fax Number
559-781-8300
person
Provider Business Mailing Address Details
Address
254 N Kessing St
City
Porterville
State
California
Zip
93257-3424
Phone Number
559-781-8500
Fax Number
559-781-8300
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A65845 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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