James L Etheredge M.D.

NPI 1689806093 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1689806093
Gender Male
Enumeration Date 08/18/2009
Last Updated 08/18/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
21 S CASEREA CT
VERO BEACH FL, 32963-1065, US
Phone (772) 231-4657
Fax
Business Location
21 S CASEREA CT
VERO BEACH FL, 32963-1065, US
Phone (772) 231-4657
Fax
Toxanomy
Taxonomy Code 207X00000X
License State Louisiana
License Number MD.04187R
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According to our database, Dr. James L Etheredge M.D. NPI is 1689806093, taxonomy code is 207X00000X and license number is MD.04187R, license state is located at Louisiana. James L Etheredge M.D. physically located at 21 S Caserea Ct, Vero Beach FL, 32963-1065. NPI Number James L Etheredge M.D. has the Individual type.

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1689806093 NPI number is provided on an as is basis without warranty of any kind. 1689806093 is maintained by the National Plan & Provider Enumeration System. The contents of James L Etheredge M.D. are for informational purposes only.