Individual
LANCE EBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19829 N 27TH AVE, PHOENIX, AZ 85027-4001
(623) 879-6100
Mailing address
3501 N SCOTTSDALE RD STE 130, SCOTTSDALE, AZ 85251-5649
(480) 425-5030
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
72638
AZ
Other
Enumeration date
04/03/2018
Last updated
09/12/2024
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