Individual
JOHN S ETCHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2900 12TH AVE N, SUITE 305E., BILLINGS, MT 59101-7506
(406) 237-5750
(406) 237-5745
Mailing address
2900 12TH AVE N, SUITE 305E., BILLINGS, MT 59101-7506
(406) 237-5750
(406) 237-5745
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
228
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
435693
—
MT
Enumeration date
08/18/2005
Last updated
10/04/2011
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