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Individual
DAVID M EBBITT
Active
Individual
DAVID M EBBITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
20107
WV
207P00000X
Emergency Medicine Physician
Primary
MD428228
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102229997
—
PA
05
—
1801202000
—
WV
05
—
5852056
—
VA
01
—
P00309879
RAILROAD MEDICARE PIN
—
Enumeration date
07/12/2005
Last updated
02/13/2020
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