Individual
TARA EBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5376 TOMAH DR STE 130, COLORADO SPRINGS, CO 80918-7002
(719) 393-3001
(719) 888-1557
Mailing address
6020 ERIN PARK DR # B-7, COLORADO SPRINGS, CO 80918-3428
(719) 393-3001
(719) 888-1557
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-05412
NC
363A00000X
Physician Assistant
Primary
PA0004975
CO
363A00000X
Physician Assistant
PA22213
CA
Other
Enumeration date
05/21/2012
Last updated
03/02/2026
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