Provider Demographics
NPI:1265011100
Name:ARNOLD, ETHAN COLE (DO)
Entity type:Individual
Prefix:DR
First Name:ETHAN
Middle Name:COLE
Last Name:ARNOLD
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15148 WINDMILL RIDGE PKWY
Mailing Address - Street 2:
Mailing Address - City:D'IBERVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39540
Mailing Address - Country:US
Mailing Address - Phone:931-273-2387
Mailing Address - Fax:
Practice Address - Street 1:KEESLER MEDICAL CENTER, 301 FISHER ST, BILOXI, MS
Practice Address - Street 2:
Practice Address - City:APO
Practice Address - State:AA
Practice Address - Zip Code:39534
Practice Address - Country:US
Practice Address - Phone:228-376-2273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-07
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS31643207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine