THOMAS K CEBALLOS, MD, Diagnostic Radiology CAPE GIRARDEAU, MO

Contact Information

THOMAS K CEBALLOS, MD

70 DOCTORS PARK
CAPE GIRARDEAU, MO 63703-4928

Phone: 573-335-6671
Fax: 573-339-0083
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology

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NPI Profile & details for THOMAS K CEBALLOS · (Male)

NPI #	`1215975719`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	06/04/2006
Last updated	12/12/2024 - More than a year ago
Sole proprietor ¹	No
Identifiers	FL License # ME 92981 MO License # 2024041718 WI License # 74124
Hospital affiliation(s)	BLACK RIVER MEMORIAL HSPTL - (Critical Access) 711 W ADAMS ST BLACK RIVER FALLS, WI 54615 GUNDERSEN LUTH MED CTR - (Acute Care) 1910 SOUTH AVE LA CROSSE, WI 54601 MOUNDVIEW MEMORIAL HSPTL AND CLINICS - (Critical Access) 402 W LAKE ST FRIENDSHIP, WI 53934 VERNON MEMORIAL HSPTL - (Critical Access) 507 SOUTH MAIN ST VIROQUA, WI 54665 VETERANS MEMORIAL HOSPITAL - (Critical Access) 40 1ST STREET SE WAUKON, IA 52172

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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THOMAS K CEBALLOS, MD – NPI #1215975719Diagnostic Radiology

Contact Information

Specialty

Diagnostic Radiology

NPI Profile & details for THOMAS K CEBALLOS · (Male)

Reviews for THOMAS K CEBALLOS

THOMAS K CEBALLOS, MD – NPI #1215975719
Diagnostic Radiology