Individual
DR. KINGSLEY EBARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 301-8000
Mailing address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
01087978A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
69775
AZ
Other
Enumeration date
04/03/2017
Last updated
09/20/2023
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