Ethan Jose, MD - Oklahoma City, OK

Ethan Jose, MD

Student in an Organized Health Care Education/Training Program in Oklahoma City, Oklahoma

NPI 1427673623

Ethan Jose is a Student in an Organized Health Care Education/Training Program based in Yukon, OK. Ethan Jose practices in Oklahoma City, OK and has the professional credentials of MD. The NPI Number for Ethan Jose is 1427673623 and holds a License No. 36094 (Oklahoma).

The current practice location address for Ethan Jose is 900 Ne 10Th St, Oklahoma City, OK and can be reached out via phone at 405-271-4311.

Location: 900 Ne 10Th St, Oklahoma City, OK, 73099-1934

NPI Number

1427673623

Provider Name

Ethan Jose

Credential

Provider Entity Type

Individual

Gender

Male

Address

900 Ne 10Th St, Oklahoma City, OK, 73099-1934

Phone Number

405-271-4311

Fax Number

Provider Enumeration Date

06/12/2020

Last Update Date

03/10/2024

Address

900 Ne 10Th St

City

Oklahoma City

State

Oklahoma

Zip

73104-5420

Phone Number

405-271-4311

Fax Number

Address

900 Ne 10Th St

City

Oklahoma City

State

Oklahoma

Zip

73104-5420

Phone Number

405-271-4311

Fax Number

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

36094 (Oklahoma)

Definition

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.

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