Individual
MR. ETHAN WESTLEY BOARDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4885 OLENTANGY RIVER RD STE 1-20, COLUMBUS, OH 43214-1953
(614) 268-6555
(614) 457-5713
Mailing address
4885 OLENTANGY RIVER RD STE 1-20, COLUMBUS, OH 43214-1953
(614) 268-6555
(614) 457-5713
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.007417RX
OH
Other
Enumeration date
02/04/2022
Last updated
08/14/2024
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