Individual
ETHAN A DOERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1919 E MEMORIAL RD, OKLAHOMA CITY, OK 73131-1253
(405) 341-7009
(405) 330-1811
Mailing address
1919 E MEMORIAL RD, OKLAHOMA CITY, OK 73131-1253
(405) 341-7009
(405) 330-1811
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
203758
OK
363LF0000X
Family Nurse Practitioner
Primary
203758
OK
Other
Enumeration date
11/06/2024
Last updated
05/21/2025
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