Ethan Thaut
NPI #1417681255 in Sioux City, Iowa
Provider Information
- NPI Number
- 1417681255
- Entity Type
- Individual
- Name
- Ethan Thaut
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Jul 15, 2022
- Last Updated
- Jul 15, 2022
Practice Location
- Address
- 801 5TH ST
- City
- Sioux City
- State
- Iowa
- ZIP Code
- 51101-1326
- Phone
- (712) 279-2010
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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