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Individual

DR. REBECCA EGBERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5155 E FARNESS DR, SUITE 111C, TUCSON, AZ 85712-2158
(520) 326-3434
(520) 326-1047
Mailing address
5155 E FARNESS DR, SUITE 111C, TUCSON, AZ 85712-2158
(520) 326-3434
(520) 326-1047

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01060806A
IN
208000000X
Pediatrics Physician
137607
AZ
208M00000X
Hospitalist Physician
Primary
37607
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
165610R
MEDICAID GROUP NUMBER
AZ
05
200523110
AZ
Enumeration date
12/28/2006
Last updated
08/18/2021
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