Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN CONALL COLE, IDC
ActiveETHAN CONALL COLE, IDC is a Independent Duty Corpsman healthcare provider located in AGUANA, Guam. NPI 1871211748 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Corpsman · AGUANA, GU
Registration Details
- NPI Number
- 1871211748
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 17, 2022 (3.954108141633 yrs)
- Last Updated
- Jan 5, 2023
Practice Information
- Address
-
USS FRANK CABLEUNIT 100105AGUANA, GU, 96567Browse GU providers · Browse ZIP 96567
- Phone
- 7176014053
- Primary Specialty
-
Independent Duty Corpsman
1710I1002X
- Additional Specialty
- Independent Duty Corpsman
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.