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Individual

STEVEN M EBERLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
305 LANGDON ST, SOMERSET, KY 42503-2750
(606) 679-7441
(606) 678-9919
Mailing address
PO BOX 52770, KNOXVILLE, TN 37950-2770
(865) 766-8897
(865) 766-8874

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
27946
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64279466
KY
Enumeration date
09/27/2005
Last updated
03/01/2012
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