Search › Pennsylvania › 208600000X
Mboutidem Etokakpan, MD
NPI 1467851634 · on the registry since 2014
Practice
- Address
- 50 Moisey Dr
Hazle Township, PA 18202 - Phone
- (570) 501-6900
- Fax
- (570) 501-6945
- Organisation at this address
- Lehigh Valley Physician Group
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 23
Registry record
- Primary taxonomy
- 208600000X
208600000X
- Also registered as
- 208600000X
- Licence states on file
- OH, PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-26
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 Pennsylvania