MR. Brock Eric Ebbing, PA-C

NPI #1801459086 in Stone Ridge, Virginia

Provider Information

NPI Number
1801459086
Entity Type
Individual
Name
MR. Brock Eric Ebbing, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Apr 15, 2019
Last Updated
Apr 15, 2019

Practice Location

Address
42010 VILLAGE CENTER PLZ STE 100
ZIP Code
20105-3036
Phone
(703) 542-7921

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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