Individual
YOSUKE EBISU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 UNIVERSITY OF NEW MEXICO, MAIL STOP CODE 10-5550, ALBUQUERQUE, NM 87131
(505) 272-5666
Mailing address
1 UNIVERSITY OF NEW MEXICO, MAIL STOP CODE 10-5550, ALBUQUERQUE, NM 87131
(505) 272-5666
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RS2013-0468
NM
Other
Enumeration date
07/09/2013
Last updated
07/16/2013
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