Individual provider · NPI-1
Dr. Ethan Hight Linscott, DO
Family Medicine · Atoka, OK
NPI number1083233043
StatusActive
Last updated in NPPESAug 2, 2024
Details
- NPI
- 1083233043
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ethan Hight Linscott
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2020
- Certification date
- Jul 14, 2021
- Last updated
- Aug 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 7377 | OK | Yes |
Practice location
367 W Cliff DrAtoka, OK 74525-1404
Phone 580-364-3646 · Fax 580-297-7832
Mailing address
Po Box 1304Atoka, OK 74525-6304
Phone 580-364-3646
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