Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ebba K. Ebba, MD

Individual provider Pediatrics Physician · NPI 1609857341

Ebba K. Ebba, MD is a Pediatrics Physician in Fort Defiance, Arizona. Licensed in Alabama, Georgia, Kentucky and West Virginia. Registered with an NPI since 2005.

Licensed in
AL, GA, KY, WV
In the registry since
2005
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

Corner Of Route N12 And N7
Fort Defiance, AZ 86504-0649
Phone: (928) 729-8000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 36724 (GA)
Pediatrics Physician Taxonomy 208000000X · Licence 50869 (KY)
Pediatrics Physician Taxonomy 208000000X · Licence 32946 (WV)
Pediatrics Physician Taxonomy 208000000X · Licence TP229 (KY)
Pediatrics Physician Taxonomy 208000000X · Licence 25659 (AL)

Record details

NPI number1609857341
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 9, 2005
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026
Mailing addressPo Box 649, Fort Defiance, AZ 86504-0649

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