Individual
ETHAN STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
280 PATTONSVILLE RD, JACKSON, OH 45640-9452
(740) 446-5937
(740) 395-8834
Mailing address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.016718
OH
Other
Enumeration date
06/03/2020
Last updated
07/24/2023
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