Individual
DR. EBEHIREME E IBAZEBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1227 E RUSHOLME ST, DAVENPORT, IA 52803-2459
(563) 421-3120
(563) 421-3129
Mailing address
5522 EMILY RD, BETTENDORF, IA 52722-1260
(832) 774-5925
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125065062
IL
Other
Enumeration date
06/26/2014
Last updated
04/30/2021
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