Dr. Gary Lee Eberly
Emergency Physician
650 Joel Dr
Fort Campbell
, Kentucky 42223-5318
Dr. Gary Lee Eberly
Emergency Physician
650 Joel Dr
Fort Campbell
, Kentucky 42223-5318
(253) 846-9419
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Dr. Gary Lee Eberly
- 19713 16th Avenue Ct E
- Spanaway, WA
- Zip : 98387-8095
- Phone : (253) 846-9419
Second Address
- Dr. Gary Lee Eberly
- 650 Joel Dr
- Fort Campbell, KY
- Zip : 42223-5318
- Phone : (270) 798-8500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 41014 | CO |
National Provider Identifier
| NPI | 1003967639 |
|---|---|
| Provider Name | Dr. Gary Lee Eberly |
| First Address | Spanaway, WA 98387-8095 |
| Second Address | Fort Campbell, KY 42223-5318 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/01/2007 |
| Last Update Date | 07/12/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.