Individual
DR. ETHAN J BELNAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNAP
Contact information
Practice address
1308 WOODLEIGH RD, DOTHAN, AL 36305-6354
(208) 431-7699
Mailing address
1308 WOODLEIGH RD, DOTHAN, AL 36305-6354
(208) 431-7699
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-194255
AL
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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