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Organization
FOOT ANKLE ASSOCIATED OF THE DESERT
Active
Organization
FOOT ANKLE ASSOCIATED OF THE DESERT
Active
Other names
FOOT ANKLE ASSOCIATES OF THE DESERT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN EDWARD EBAUGH DPM (PODIATRY)
(760) 863-0070
Entity
Organization
Contact information
Practice address
82013 DR CARREON BLVD, INDIO, CA 92201-5832
(760) 863-0048
Mailing address
82013 DR CARREON BLVD, INDIO, CA 92201-5832
(760) 863-0048
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
314000000X
Skilled Nursing Facility
—
CA
Other
Enumeration date
01/20/2006
Last updated
09/11/2025
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