NPI | 1669575718 |
---|---|
Doing Business As | PHILIP EBERSOLE M D FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | EVA MARIA EBERSOLE Office Manager 951-894-6868 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C431720) |
Enumeration Date | 2006-09-06 |
Last Update Date | 2019-08-25 |