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Dr. Ethan Walter Scott, M.D.

Anesthesiology in Farmington, NM. Individual provider (NPI-1).

NPI number1225251820
StatusActive
Last updated in NPPESDec 12, 2024

Details

NPI
1225251820
Entity type
Individual (NPI-1)
Name
Dr. Ethan Walter Scott
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Apr 11, 2007
Certification date
Dec 12, 2024
Last updated
Dec 12, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207L00000X AnesthesiologyM-9833IDYes

Practice location

801 W Maple St
Farmington, NM 87401-5630

Phone 505-609-2000

Mailing address

5775 Paseo Del Rancho
Farmington, NM 87402-3082

Phone 210-834-5508

Other practice locations

3851 Roger Brooke Dr
San Antonio, TX 78234-4501

Phone 210-916-8499

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Other Anesthesiology Physician providers in Farmington, NM

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