Mark Peter Eberhard, PA
Physician Assistant in Orchard Park, NY. Individual provider (NPI-1).
NPI number1760945877
StatusActive
Last updated in NPPESApr 8, 2019
Details
- NPI
- 1760945877
- Entity type
- Individual (NPI-1)
- Name
- Mark Peter Eberhard
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 8, 2019
- Last updated
- Apr 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 023400 | NY | Yes |
Practice location
3671 Southwestern Blvd Ste 101Orchard Park, NY 14127-1749
Phone 716-662-7008 · Fax 716-662-5226
Mailing address
3671 Southwestern Blvd Ste 101Orchard Park, NY 14127-1749
Phone 716-662-7008 · Fax 716-662-5226
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All 77 Physician Assistant providers in Orchard Park · All 1,606 providers in Orchard Park
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