Ethan Gene Ormonde, PA

NPI #1114637840 in Nellis Afb, Nevada

Provider Information

NPI Number
1114637840
Entity Type
Individual
Name
Ethan Gene Ormonde, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Dec 5, 2022
Last Updated
Feb 8, 2024

Practice Location

Address
4700 LAS VEGAS BLVD N
State
Nevada
ZIP Code
89191-6600
Phone
(702) 653-2273

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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