| Ethan Thomas Nethery, MD | |
|
301 N 8th St Fl 3, Springfield, IL 62701-1041 | |
| (217) 545-3262 | |
| (217) 545-7305 |
| Full Name | Ethan Thomas Nethery |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 301 N 8th St Fl 3, Springfield, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265327555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 125086230 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan Thomas Nethery, MD Po Box 19700, Springfield, IL 62794-9700 Ph: (217) 545-3262 | Ethan Thomas Nethery, MD 301 N 8th St Fl 3, Springfield, IL 62701-1041 Ph: (217) 545-3262 |
Chandler Nicholas Hudson, MD Urology Medicare: Medicare Enrolled Practice Location: 747 N Rutledge St, Springfield, IL 62702 Phone: 217-545-3262 Fax: 217-545-7305 | |
Parker Laurance Heger, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 301 N 8th St Fl 3, Springfield, IL 62701 Phone: 217-545-3262 Fax: 217-545-7305 | |
Dr. David A. Roszhart, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 800 N. 1st Street, Springfield, IL 62702 Phone: 217-528-7541 | |
Roberta Lynn Koeppen, MD Urology Medicare: Medicare Enrolled Practice Location: 747 N Rutledge St, Springfield, IL 62702 Phone: 217-545-3262 Fax: 217-545-7305 | |
Robert Henry Blackwell, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 301 N 8th St, Pav 4b, Springfield, IL 62701 Phone: 217-545-8000 Fax: 217-545-7305 | |
Kevin Mcvary, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 301 N 8th St, Ste Pav 4b, Springfield, IL 62701 Phone: 217-545-8000 Fax: 217-545-7305 |