Individual
DR. PAUL JAMES EBBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14 GREAT PLAINS RD, ARAPAHOE, WY 82510
(307) 856-9281
Mailing address
PO BOX 1310, RIVERTON, WY 82501-0158
(307) 856-9281
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7857A
WY
Other
Enumeration date
08/19/2006
Last updated
11/18/2011
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