Individual
MR. WILLIAM ETENBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPA-C
Contact information
Practice address
627 25 1/2 RD, GRAND JUNCTION, CO 81505-6401
(970) 242-3535
Mailing address
627 25 1/2 RD, GRAND JUNCTION, CO 81505-6401
(970) 242-3535
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
3
IL
Other
Enumeration date
09/26/2005
Last updated
11/13/2007
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