Individual
DR. HANNIBAL ECCLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
920 COUNTRY CLUB RD STE 140A, EUGENE, OR 97401
(665) 993-3768
(503) 362-8435
Mailing address
1793 13TH ST SE, SALEM, OR 97302-2541
(503) 362-8385
(503) 362-8435
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101252414
VA
Other
Enumeration date
06/16/2011
Last updated
08/13/2019
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