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Individual

PETER EBOT OBEN

Active
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Individual

PETER EBOT OBEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RVT, RDCS,RDMA

Taxonomy

Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
70271
AZ
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
70271
AZ
2471S1302X
Sonography Radiologic Technologist
70271
AZ
2471V0105X
Vascular Sonography Radiologic Technologist
70271
AZ

Other

Enumeration date
07/23/2017
Last updated
07/21/2022
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