Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | A121485 | CA |
N | 207T00000X | Neurosurgeon | MD60614181 | WA |
N | 2084N0400X | Neurologist | MD60614181 | WA |
NPI | 1043413438 |
---|---|
Provider Name | Dr. Paula Eboli |
First Address | Spokane, WA 99220-3649 |
Second Address | Torrance, CA 90505-5233 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2007 |
Last Update Date | 12/02/2019 |