Search › West Virginia › 208100000X
Ethan Colliver, D.O
NPI 1184803330 · on the registry since 2007
Practice
- Address
- 122 12th St
Princeton, WV 24740 - Phone
- (304) 425-7127
- Fax
- (304) 487-7235
- Organisation at this address
- Princeton Community Hospital Association, Inc.
Hospitalist Medicine Physicians Of West Virginia - South CharlestonInferred from a shared address, not stated in the registry. - Clinicians at this address
- 58
Registry record
- Primary taxonomy
- 208100000X
208100000X
- Also registered as
- 208100000X
- Licence states on file
- VA, WV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-10-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia