Ethridge, William Bruce

Ethridge, William Bruce is an individual health care provider with primary practice located at 1951 W 25Th Street Ste F, Yuma AZ 85364. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Ethridge, William Bruce can be contacted via phone (928) 314-1174.

Contact Information

Primary practice address
1951 W 25Th Street Ste F Yuma AZ 85364
Phone: (928) 314-1174
Fax: (928) 314-1175
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 12956 Arizona
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 12956 Arizona

Profile Details

NPI number 1205890530
LBN Legal business name Ethridge, William Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Feb 20th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1205890530 NPPES
Arizona Other 249145 AHCCCS

Popular Providers