NPI 1003391434

Ethan Everlith

Practitioner Physician Assistant Gilbert, AZ

Practice location

Address: 2940 E Banner Gateway Dr STE 200, Gilbert, AZ 85234-2171
Phone: (480) 964-2908
Mailing address: PO Box 80217, Phoenix, AZ 85060-0217

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 7291 (AZ)

Other Physician Assistant providers in Arizona →

Surgical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 7291 (AZ)

Registry record

NPI: 1003391434
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Oct 2018
Record last updated: 22 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.