Individual
EILEEN JANE EBENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4881 SUGAR MAPLE DR, DAYTON, OH 45433-5529
(937) 257-9700
Mailing address
4881 SUGAR MAPLE DR, DAYTON, OH 45433-5529
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50.003155
OH
Other
Enumeration date
05/10/2010
Last updated
08/26/2021
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