Search › Oklahoma › 171M00000X
Ethan Boles
NPI 1437896370 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1600 S Broadway Ave
Ada, OK 74820 - Phone
- (580) 320-4182
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Sex
- Male
- Record last updated
- 2022-05-12
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 Oklahoma