Individual
DR. CLIFTON ROY EWBANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
786 THIRD AVE, CHULA VISTA, CA 91910-5826
(619) 425-0797
Mailing address
786 THIRD AVE, CHULA VISTA, CA 91910-5826
(619) 425-0797
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A149659
CA
Other
Enumeration date
01/08/2007
Last updated
04/25/2022
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