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DAVID S EBENEZER
9300 VALLEY CHILDRENS PL MADERA CA 936368761

DAVID S EBENEZER is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1225222714. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 1658513759. The primary specialty is ORTHOPEDIC SURGERY. The organization is VALLEY CHILDRENS SPECIALTY MEDICAL GROUP INC. The address is 9300 VALLEY CHILDRENS PL, , MADERA, CA, 936368761. The zip code is 936368761.


Nation Provider ID1225222714
PAC ID by PECOS1658513759
Professional Enrollment IDI20141110002562
NameDAVID S EBENEZER
Medical School NameUNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE
Graduation Year2007
Primary SpecialtyORTHOPEDIC SURGERY
All secondary specialtiesPEDIATRIC MEDICINE
Organization NameVALLEY CHILDRENS SPECIALTY MEDICAL GROUP INC
Group Practice PAC ID9638072614
Number of Group Practice members40
Address9300 VALLEY CHILDRENS PL, , MADERA, CA, 936368761
Hospital affiliation LBN
Graduation Year2007
Contact Number5593535941
Email Address[Show_Email_ID]

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