Ethan Mark Huckabee, DO
NPI #1043705395 in Carbondale, Illinois
Provider Information
- NPI Number
- 1043705395
- Entity Type
- Individual
- Name
- Ethan Mark Huckabee, DO
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Emergency Medicine
- Credential
- DO
- Enumeration Date
- Jun 28, 2018
- Last Updated
- Jun 6, 2024
Practice Location
- Address
- 405 W JACKSON ST
- City
- Carbondale
- State
- Illinois
- ZIP Code
- 62901-1462
- Phone
- (618) 549-0721
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medicine |
| Student in an Organized Health Care Education/Training Program |
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