MATTHEW ETHERINGTON

CARBONDALE, IL
NPI1831767862
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: IL  036169375)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: PA  OT021090)
Enumeration Date2021-06-16
Last Update Date2024-08-05
Business Address
MATTHEW ETHERINGTON DO
405 W JACKSON ST
CARBONDALE, IL 62901-1462
Phone number: 618-549-0721
Mailing Address
MATTHEW ETHERINGTON DO
PO BOX 3988
CARBONDALE, IL 62902-3988
Phone number: 618-457-5200