NPI 1154358067

Michele B Ebbers, MD

Practitioner Pediatric Urology Physician Boise, ID

Practice location

Address: 305 E Jefferson St, Boise, ID 83712-6273
Phone: (208) 381-6196
Fax: (208) 381-6199
Mailing address: 190 E Bannock St, Boise, ID 83712-6241

Registered specialties (2)

Pediatric Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2088P0231X Licence M11717 (ID)

Other Urology providers in Idaho →

Urology Physician

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 2006-00886 (NC)

Registry record

NPI: 1154358067
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jun 2006
Record last updated: 29 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.