Individual
MR. ETHAN ELI MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1776 N SCOTTSDALE RD UNIT 368, SCOTTSDALE, AZ 85252-3616
(480) 201-5264
(480) 393-1970
Mailing address
1776 N SCOTTSDALE RD UNIT 368, SCOTTSDALE, AZ 85252-3616
(480) 201-5264
(480) 393-1970
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
5499
AZ
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
08/20/2013
Last updated
03/08/2018
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