Individual
LOREN EBERHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1425 S. GREENFIELD RD STE 101, MESA, AZ 85206
(480) 981-3000
(480) 325-3614
Mailing address
1425 S. GREENFIELD RD #101, MESA, AZ 85206
(480) 981-3000
(480) 325-3614
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4214
AZ
Other
Enumeration date
08/15/2008
Last updated
08/15/2008
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