Aetherius Medical LLC

NPI #1851103063 in Noble, Oklahoma

Provider Information

NPI Number: 1851103063
Entity Type: Organization
Organization Name: Aetherius Medical LLC
Primary Specialty: Family Medicine
Enumeration Date: Jan 23, 2025
Last Updated: Mar 18, 2025

Practice Location

Address: 408 N MAIN ST
City: Noble
State: Oklahoma
ZIP Code: 73068-9574
Phone: (405) 339-5261

Authorized Official

Name: MRS. KRYSTEN MESCAN
Title: OWNER - FAMILY NURSE PRACTITIONER
Phone: (405) 300-1476

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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