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Blaine Etzel, PA-C

NPI 1881686590 · on the registry since 2005

Practice

Address
100 Kellie Dr
Smithfield, NC 27577
Phone
(919) 220-5255
Fax
(919) 313-1276
Organisation at this address
Emergeortho, Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
25

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363A00000X
363A00000X
Licence states on file
WA, MT, NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-09-23

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 North Carolina