Ethan Compton
Ethan Compton is a Family Practice in Talihina, Oklahoma. Qualified in 2024, 2 years ago. Registered with an NPI since 2024.
- Years since qualifying
- 2
- In the registry since
- 2024
Practice location Address checks out
Talihina, OKNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1629823455 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 23, 2024 |
| Last updated in NPPES | April 23, 2024 |
| Certification date | April 23, 2024 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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