ETHAN STAATS

CASHIERS, NC
NPI1194244012
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Y00000X Otolaryngology
(Licence: GA  8893)
Enumeration Date2017-09-12
Last Update Date2017-09-12
Business Address
ETHAN STAATS
391 HEATON FOREST RD
CASHIERS, NC 28717
Phone number: 828-743-2558
Mailing Address
ETHAN STAATS
PO BOX 2670
CASHIERS, NC 28717-2670
Phone number: 828-743-2558