Individual provider · Type 1 NPI

Michael J. Ebaugh, MD

Specialist · Porterville, CA

NPI number 1609965797 Active

Practice location

254 N Kessing St
Porterville, CA 93257-3424

Fax (559) 781-8300

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XA65845 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1609965797

Michael J. Ebaugh, MD's National Provider Identifier is 1609965797, issued on Oct 12, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Porterville, CA. The record was last updated on Jul 8, 2007.