ETHAN M DYMOND

CHARLOTTESVILLE, VA
NPI1275270324
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: VA  0110008580)
Additional Taxonomies363AM0700X Physician Assistant, Medical
Enumeration Date2022-05-18
Last Update Date2023-11-06
Business Address
ETHAN M DYMOND PA
1215 LEE ST
CHARLOTTESVILLE, VA 22908-4319
Phone number: 434-924-5428
Mailing Address
ETHAN M DYMOND PA
PO BOX 9007
CHARLOTTESVILLE, VA 22906-9007
Phone number: 434-295-1000