Doctor Name: | STEVEN C EBERHARDT |
NPI Number: | 1699781278 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD20040314 |
Business Practice Address: | 1650 University Blvd Ne Albuquerque, NM - 87102 |
Business Phone Number: | 5052722269 |
Business Fax Number: | 5052725821 |
Mailing Address: | 1650 University Blvd Ne, ALBUQUERQUE |
State: | NM |
Postal Code: | 87102 |
Phone Number: | 5052722269 |
Fax Number: | 5052725821 |
NPI Enumeration Date: | 08/01/2006 |
NPI Last Update Date: | 08/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | MD20040314 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |