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Dr. Ethan Roy Etnyre, MD
Family Medicine Physician in Oceano, California
NPI 1225021777

Ethan Roy Etnyre is a Family Medicine Physician based in Santa Maria, CA. Ethan Roy Etnyre practices in Oceano, CA and has the professional credentials of MD. The NPI Number for Ethan Roy Etnyre is 1225021777 and holds a License No. G073939 (California).

The current practice location address for Ethan Roy Etnyre is 2120 Cienaga St, Oceano, CA and can be reached out via phone at 805-994-2100 and via fax at 805-994-2197.

Location: 2120 Cienaga St, Oceano, CA, 93458-7310
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225021777
Provider Name
Ethan Roy Etnyre
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2120 Cienaga St, Oceano, CA, 93458-7310
Phone Number
805-994-2100
Fax Number
805-994-2197
Provider Enumeration Date
08/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CB207800 01 CA MEDICARE ID
080142806 01 RAILROAD MEDICARE
00G739390 01 CA BLUE SHIELD OF CALIFORNIA
00G739390 05 CA
institution
Provider Business Practice Location Address Details
Address
2120 Cienaga St
City
Oceano
State
California
Zip
93445-9016
Phone Number
805-994-2100
Fax Number
805-994-2197
person
Provider Business Mailing Address Details
Address
2120 Cienaga St
City
Oceano
State
California
Zip
93445-9016
Phone Number
805-994-2100
Fax Number
805-994-2197
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
G073939 (California)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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