Individual
ETHAN COMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 CHOCTAW WAY, TALIHINA, OK 74571-2022
(918) 567-7000
Mailing address
8801 MEANDERING WAY, FORT SMITH, AR 72903-6329
(303) 330-7230
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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