Individual
JOHN A. EBNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2224 W NORTHERN AVE STE D300, PHOENIX, AZ 85021-5099
(602) 277-1449
(602) 277-9984
Mailing address
2224 W NORTHERN AVE STE D300, PHOENIX, AZ 85021-5099
(602) 277-1449
(602) 277-9984
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
4767
AZ
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
4767
AZ
Other
Enumeration date
08/17/2007
Last updated
04/04/2024
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