Individual
MR. STEPHEN EBBITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-1000
Mailing address
2609 QUEENSTON RD, CLEVELAND HTS, OH 44118-4319
(216) 321-9847
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.001624
OH
Other
Enumeration date
06/08/2007
Last updated
07/08/2007
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