Ethan Conall Cole, IDC

NPI #1871211748 in Aguana, Guam

Provider Information

NPI Number
1871211748
Entity Type
Individual
Name
Ethan Conall Cole, IDC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Military Health Care Provider - Independent Duty Corpsman
Credential
IDC
Enumeration Date
Aug 17, 2022
Last Updated
Jan 5, 2023

Practice Location

Address
USS FRANK CABLE
Address 2
UNIT 100105
City
Aguana
State
Guam
ZIP Code
96567
Phone
(717) 601-4053

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Military Health Care Provider - Independent Duty CorpsmanIndependent Duty Corpsman

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