Individual
THOMAS L EBY
Active
Individual
THOMAS L EBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
19453
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05608020
—
MS
01
—
P00462187
RR MEDICARE
—
Enumeration date
06/14/2006
Last updated
01/31/2013
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