Individual provider · Type 1 NPI

Shelby Tyrus Ethridge, RT (R) (CT)

Diagnostic Radiology Physician · Cincinnati, OH

NPI number 1073002630 Active

Practice location

3200 Vine St
Cincinnati, OH 45220-2213

Call (513) 861-3100 Map

Mailing address

3355 Bauerwood Dr
Cincinnati, OH 45251-2911

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XR8859300 (OH)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1073002630

Shelby Tyrus Ethridge, RT (R) (CT)'s National Provider Identifier is 1073002630, issued on May 8, 2018. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Cincinnati, OH. The record was last updated on May 8, 2018.