Individual
DR. ETHAN WALTER SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 W MAPLE ST, FARMINGTON, NM 87401-5630
(505) 609-2000
Mailing address
5775 PASEO DEL RANCHO, FARMINGTON, NM 87402-3082
(210) 834-5508
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M-9833
ID
Other
Enumeration date
04/11/2007
Last updated
12/12/2024
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