Individual
ETHAN F SLIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
707 SHERIDAN AVE, CODY, WY 82414-3409
(307) 527-7501
Mailing address
707 SHERIDAN AVE, CODY, WY 82414-3409
(307) 527-7501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16984A
WY
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/31/2021
Last updated
06/28/2024
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