Individual
ETHAN KARL MAULSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-0117
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-2252
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
33736
NE
207L00000X
Anesthesiology Physician
Primary
MD61617352
WA
Other
Enumeration date
02/03/2020
Last updated
11/24/2025
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