BRIAN CEBALLOS

BIRMINGHAM, AL
NPI1376178277
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-03-11
Last Update Date2020-03-11
Business Address
BRIAN CEBALLOS MD
625 19TH ST S
BIRMINGHAM, AL 35233-1900
Phone number: 205-975-0088
Mailing Address
BRIAN CEBALLOS MD
6720 SW JUNIPER TER
BEAVERTON, OR 97008-5137
Phone number: 541-539-1105
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