Individual
ROBERT ETHERINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
21914 S 215TH PL, QUEEN CREEK, AZ 85142-5960
(928) 899-0345
Mailing address
21914 S 215TH PL, QUEEN CREEK, AZ 85142-5960
(928) 899-0345
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
011254
AZ
Other
Enumeration date
12/16/2014
Last updated
12/16/2014
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