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Individual
LARRY P EBBERT
Active
Individual
LARRY P EBBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
2083
SD
207RH0003X
Hematology & Oncology Physician
MC-274
GU
207RH0003X
Hematology & Oncology Physician
Primary
MD-21014
HI
207RX0202X
Medical Oncology Physician
74117
SD
Other
Enumeration date
09/27/2006
Last updated
03/16/2025
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