Individual
DR. ETHAN JOHN HUNDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12 CREST RD, SAINT ALBANS, VT 05478-9701
(802) 524-4554
(802) 527-6792
Mailing address
12 CREST RD, SAINT ALBANS, VT 05478-9701
(802) 524-4554
(802) 527-6792
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
042.0014693
VT
207Q00000X
Family Medicine Physician
58616
TN
Other
Enumeration date
03/17/2017
Last updated
11/07/2023
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