ETHAN FORT

HAYS, KS
NPI1588308571
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
Enumeration Date2022-04-25
Last Update Date2022-04-25
Business Address
ETHAN FORT
2220 CANTERBURY DR
HAYS, KS 67601-2370
Phone number: 855-429-7633
Mailing Address
ETHAN FORT
4100 MILLSTONE CIR
HAYS, KS 67601-9797
Phone number: 785-259-2457
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