| NPI | 1720357569 |
|---|---|
| Doing Business As | EBERT FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHRISTINE A EBERT-SANTOS Owner 970-668-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 208000000X Pediatrics (Licence: CO 38349) | |
| 363L00000X Nurse Practitioner (Licence: CO 990454) | |
| Enumeration Date | 2011-12-23 |
| Last Update Date | 2020-10-20 |