Individual
DR. JOSEPH MARTIN EBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7718 E 91ST ST STE 220, TULSA, OK 74133-6064
(918) 392-0720
Mailing address
7718 E 91ST ST STE 220, TULSA, OK 74133-6064
(918) 392-0720
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
30438
OK
2085R0202X
Diagnostic Radiology Physician
52200
MN
208D00000X
General Practice Physician
390200000X
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
Enumeration date
07/10/2008
Last updated
06/17/2014
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