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ISTA ARIANE EGBETO MD

Individual Provider (NPI-1) Active

Dermatology

Provider Information

NPI Number
1962080754
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
2 MEMORIAL DR FL 1, DECATUR, IL, 625263950
Phone
(217) 872-2930
Fax
(217) 872-2979

Specialties & Taxonomies

Dermatology Primary License: IL #036174078
Student in an Organized Health Care Education/Training Program

All Addresses

MAILING

PO BOX 19639

SPRINGFIELD, IL, 627949639

(217) 545-8000

LOCATION

2 MEMORIAL DR FL 1

DECATUR, IL, 625263950

(217) 872-2930