Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 41187 | IA |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 41187 | IA |
NPI | 1326201468 |
---|---|
Provider Name | Dr. Thomas P Ebinger |
First Address | Iowa City, IA 52245-9509 |
Second Address | Iowa City, IA 52245-9509 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2008 |
Last Update Date | 02/10/2014 |