Individual
ANDREA J EBERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1109 BURMAN DR, JACKSONVILLE, AR 72076-4386
(501) 982-7575
(501) 982-7510
Mailing address
PO BOX 15968, LITTLE ROCK, AR 72231-5968
(501) 221-1843
(501) 221-2376
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E-2034
AR
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
E-2034
AR
2080P0205X
Pediatric Endocrinology Physician
E-2034
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135989001
—
AR
01
—
5L052
AR BCBS
AR
Enumeration date
10/24/2006
Last updated
08/27/2009
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