Provider Demographics
NPI:1386618031
Name:EBY, EUGENE M (MD)
Entity type:Individual
Prefix:
First Name:EUGENE
Middle Name:M
Last Name:EBY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7887 E BELLEVIEW AVE
Mailing Address - Street 2:SUITE1100
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80111-6015
Mailing Address - Country:US
Mailing Address - Phone:303-759-0854
Mailing Address - Fax:303-759-0864
Practice Address - Street 1:7700 S BROADWAY
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-2602
Practice Address - Country:US
Practice Address - Phone:303-730-5800
Practice Address - Fax:303-730-5868
Is Sole Proprietor?:No
Enumeration Date:2006-02-16
Last Update Date:2014-11-10
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Provider Licenses
StateLicense IDTaxonomies
CO35317207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO930060620OtherRR MEDICARE
CO01353176Medicaid
CO01353176Medicaid
CO930060620OtherRR MEDICARE