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ETHAN THAUT
Physician Assistant
NPI: 1417681255IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2022
Contact & Hours
- Address
- 801 5TH ST
SIOUX CITY, IA 51101 - Phone
- (712) 279-2010
Quick Facts
- NPI
- 1417681255
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 4
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