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Organization
VANCE C EBERLY MD INC
Active
Organization
VANCE C EBERLY MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VANCE CHARLES EBERLY M.D. (PRESIDENT)
(562) 869-4421
Entity
Organization
Contact information
Practice address
11525 BROOKSHIRE AVE, SUITE 405, DOWNEY, CA 90241-4985
(714) 849-6023
(714) 849-6023
Mailing address
11525 BROOKSHIRE AVE, SUITE 405, DOWNEY, CA 90241-4985
(714) 849-6023
(714) 849-6023
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G81586
CA
Other
Enumeration date
01/16/2009
Last updated
03/22/2011
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