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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JONATHAN ETHERIDGE, M.D.

Active

DR. JONATHAN ETHERIDGE, M.D. is a Emergency Medicine healthcare provider located in LAMAR, Missouri. NPI 1063674661 is currently active in the NPPES registry. Verify at CMS.

Emergency Medicine · LAMAR, MO

Registration Details

NPI Number
1063674661
Provider Type
Individual
Gender
Male
NPI Issued
Jun 26, 2008 (18.121313842076 yrs)
Last Updated
Jul 15, 2021
License
2012003246 (MO)

Practice Information

Address
29 NW 1ST LN
LAMAR, MO, 647598105
Browse MO providers · Browse ZIP 64759
Phone
4176815100
Primary Specialty
Emergency Medicine
207P00000X

Other Emergency Medicine Providers in LAMAR, MO

Name Credential NPI
DR. JIMMY WAYNE PYRON DO 1588629158
JOHN JEFFERY WILLIS MD 1215958012
DR. JEREMY LOWELL STURGELL MD 1376741173
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.