Individual
DR. ETHAN GABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 E 2ND ST STE N, COUDERSPORT, PA 16915-8161
(814) 274-7101
Mailing address
1001 E 2ND ST STE N, COUDERSPORT, PA 16915-8161
(814) 274-7101
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
288016
NY
207V00000X
Obstetrics & Gynecology Physician
MD472069
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD472069
LICENSE
PA
Enumeration date
04/09/2013
Last updated
09/28/2022
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