ISTA EGBETO, MD
Dermatology
Active
Individual
NPI: 1962080754
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dermatology | 207N00000X | Yes | 036174078 (IL) |
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
Frequently Asked Questions
NPI 1962080754 is the National Provider Identifier for ISTA EGBETO, MD, a Dermatology provider located in Decatur, IL. This NPI was enumerated on April 1, 2021.
ISTA EGBETO, MD practices at 2 MEMORIAL DR FL 1, Decatur, IL 62526.
Quick Facts
- NPI
- 1962080754
- Type
- Individual
- Enumerated
- Apr 1, 2021
- Last Updated
- Nov 24, 2025
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