Mayberry, Ralph Esker

Mayberry, Ralph Esker is an individual health care provider with primary practice located at 1800 E Wilcox Dr , Sierra Vista AZ 85635-2756. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mayberry, Ralph Esker can be contacted via phone (520) 459-3116.

Contact Information

Primary practice address
1800 E Wilcox Dr Sierra Vista AZ 85635-2756
Fax: (520) 459-7397
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 16890 Arizona

Profile Details

NPI number 1063487486
LBN Legal business name Mayberry, Ralph Esker
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2006
Last updated Dec 5th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063487486 NPPES
Arizona MEDICAID 286444
Arizona Other CH7902
Arizona Other 3336424011
Arizona Other 4114162
Arizona Other 1Z4100
Arizona Other AZ0262820
Arizona Other 08001448

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