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Individual

ETHAN WESTBROOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
800 GARFIELD AVE RM G102, PARKERSBURG, WV 26101-5340
(304) 424-4575
(304) 424-4577
Mailing address
800 GARFIELD AVE RM G102, PARKERSBURG, WV 26101-5340
(304) 424-4575
(304) 424-4577

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
3581
WV
207R00000X
Internal Medicine Physician
Primary
3581
WV

Other

Enumeration date
07/03/2018
Last updated
10/20/2022
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