Ethan Roth Stofferan is a surgical physician assistant in Dakota Dunes, SD with 3 years of experience. Ethan Roth Stofferan NPI is 1508437559. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
575 N SIOUX POINT RD
DAKOTA DUNES, SD
ZIP 57049-312
Phone: (605) 217-2667
Fax: (605) 217-2900
The NPI 1508437559 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 7/9/2021 and was last updated on 7/9/2021.