NPI 1184803330

Ethan B Colliver, DO

Practitioner Physical Medicine & Rehabilitation Physician Princeton, WV

Practice location

Address: 122 12th St, Princeton, WV 24740-2312
Phone: (304) 425-7127
Fax: (304) 487-7235

Registered specialties (2)

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 4641 (WV)

Other Physical Medicine & Rehabilitation providers in West Virginia →

Physical Medicine & Rehabilitation Physician

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 0102202357 (VA)

Registry record

NPI: 1184803330
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Oct 2007
Record last updated: 17 Oct 2025

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.