person
Ethan Smith
Student in an Organized Health Care Education/Training Program in Des Moines, Iowa
NPI 1073215984

Ethan Smith is a Student in an Organized Health Care Education/Training Program based in Rice Lake, IA. Ethan Smith practices in Des Moines, IA. The NPI Number for Ethan Smith is 1073215984 and holds a License No. (Iowa).

The current practice location address for Ethan Smith is 3200 Grand Ave, Des Moines, IA and can be reached out via phone at 515-271-1569.

Location: 3200 Grand Ave, Des Moines, IA, 54868-9542
person
Provider Profile Details
NPI Number
1073215984
Provider Name
Ethan Smith
Credential
Provider Entity Type
Individual
Gender
Male
Address
3200 Grand Ave, Des Moines, IA, 54868-9542
Phone Number
515-271-1569
Fax Number
Provider Enumeration Date
03/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3200 Grand Ave
City
State
Zip
50312-4104
Phone Number
515-271-1569
Fax Number
person
Provider Business Mailing Address Details
Address
3200 Grand Ave
City
State
Zip
50312-4104
Phone Number
515-271-1569
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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