Individual
DR. ETHAN ALLEN NEUFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
677 N WILMOT RD, TUCSON, AZ 85711-2701
(520) 795-2889
Mailing address
700 E MOREHEAD ST STE 300, CHARLOTTE, NC 28202-2742
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
57623
AZ
2085R0202X
Diagnostic Radiology Physician
10179216-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
513683
—
AZ
Enumeration date
03/29/2012
Last updated
01/10/2024
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