Individual
DR. ROBERT ETHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., MBS
Contact information
Practice address
13321 N MERIDIAN AVE STE 402, OKLAHOMA CITY, OK 73120-8316
(405) 808-9669
Mailing address
13321 N MERIDIAN AVE STE 402, OKLAHOMA CITY, OK 73120-8316
(405) 808-9669
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
30327
MS
207L00000X
Anesthesiology Physician
Primary
33138
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2016
Last updated
12/05/2024
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