Individual
CHERYL LEE DANIELLE EBERTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
144 S MAIN ST, SUITE 100, ALPINE, UT 84004-1666
(801) 763-7107
(801) 763-7607
Mailing address
653 S HIGH BENCH RD, ALPINE, UT 84004-1797
(801) 763-7107
(801) 763-7607
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
62699311205
UT
Other
Enumeration date
09/22/2006
Last updated
09/03/2009
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