EBON JOHN WALLACE-TALIFARRO
License Number: ME128986
Primary Practice Address
EBON JOHN WALLACE-TALIFARRO
18444 N 25TH AVE
PHOENIX, AZ 85023
Medicaid
The practitioner did not indicate if he/she participates in the Medicaid program.
Staff Privileges
This practitioner currently holds staff privileges at the following hospital/medical/health institutions:
Institution Name | City | State |
---|---|---|
OUT OF STATE | KALAMAZOO | MICHIGAN |
OUT OF STATE | KALAMAZOO | MICHIGAN |
OUT OF STATE | KALAMAZOO | MICHIGAN |
OUT OF STATE | HASTINGS | MICHIGAN |
OUT OF STATE | PORTAGE | MICHIGAN |
Email Address
Please contact at: talifar1@gmail.com
Other State Licenses
This practitioner has indicated the following additional state licensure:
State | Profession |
---|---|
Michigan | MEDICAL DOCTOR |
Michigan | CONTROLLED SUBSTANCE |
Florida Birth-Related Neurological Injury Compensation Association
If you are a Florida Allopathic (MD) or Osteopathic (DO) Physician, you are required to provide proof of payment of the Florida Birth-Related Neurological Injury Compensation Association (NICA) assessment as required by section 766.314, Florida Statutes. Payment of the initial and annual assessment are required of all Florida Allopathic and Osteopathic Physicians who do not qualify for an exemption as set forth in section 766.314(4)(b)4, Florida Statutes.
This practitioner has not indicated whether he/she has submitted payment of the assessment.
Specialty Certification
This practitioner holds the following certifications from specialty boards recognized by the Florida board which regulates the profession for which he/she is licensed:
Specialty Board | Certification |
---|---|
AMERICAN BOARD OF ANESTHESIOLOGY | AN - ANESTHESIOLOGY |
Financial Responsibility
Financial Exemption