Ethan Birdwell

NPI #1457077190 in Shawnee, Oklahoma

Provider Information

NPI Number
1457077190
Entity Type
Individual
Name
Ethan Birdwell
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Oct 14, 2022
Last Updated
Oct 14, 2022

Practice Location

Address
1202 MONROE DR
ZIP Code
74804-4139
Phone
(405) 517-3806

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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