SearchArizona235Z00000X

Ethan Wash

NPI 1588192033 · on the registry since 2017

Practice

Address
2655 N Pebble Creek Pkwy
Goodyear, AZ 85395
Phone
(602) 677-8992
Fax
(602) 677-8992

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-05-30

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 Arizona