THOMAS H ETTER

CODY, WY
NPI1154562791
Other NameTHOMAS ETTER LLC
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: WY  9334A)
Additional Taxonomies208600000X Surgery
(Licence: WY  TL2094)
208600000X Surgery
(Licence: MO  2006003130)
Enumeration Date2009-03-11
Last Update Date2022-08-10
Business Address
THOMAS H ETTER D.O.
902 BLACKBURN ST
CODY, WY 82414-8494
Phone number: 307-296-1355
Mailing Address
THOMAS H ETTER D.O.
902 BLACKBURN ST
CODY, WY 82414-8494
Phone number: 307-296-1355