Isaiah John Ebert is a student in an organized health care education training program in Tulsa, OK. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Isaiah John Ebert NPI is 1104582030. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
8102 E 65TH PL
TULSA, OK
ZIP 74133-362
Phone: (614) 285-8072
The enumeration date for this NPI number is 11/15/2021 and was last updated on 11/15/2021.