Individual
ETHAN ESTOOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3810 PLAZA WAY, KENNEWICK, WA 99338-2722
(509) 221-5980
Mailing address
3810 PLAZA WAY, KENNEWICK, WA 99338-2722
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD197145
OR
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD61245243
WA
Other
Enumeration date
06/20/2017
Last updated
09/12/2022
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