William Ebert, MD
Family Medicine in Santa Cruz, CA. Individual provider (NPI-1).
NPI number1982609848
StatusActive
Last updated in NPPESJan 30, 2012
Details
- NPI
- 1982609848
- Entity type
- Individual (NPI-1)
- Name
- William Ebert
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 16, 2005
- Last updated
- Jan 30, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | G77739 | CA | Yes |
Practice location
2025 Soquel AveSanta Cruz, CA 95062-1323
Phone 831-458-5524 · Fax 831-458-5886
Mailing address
2025 Soquel AveSanta Cruz, CA 95062-1323
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