Bradley Ethington DO

NPI 1205196391 - Pediatrics - 208000000X

NPI Details
NPI 1205196391
Gender Male
Enumeration Date 05/22/2012
Last Updated 06/25/2015
Entity Type Individual
Active Over 4 years ago
Practice Location
2555 E 13TH ST STE 130
LOVELAND CO, 80537-5135, US
Phone (970) 663-5437
Fax (970) 669-5762
Business Location
2555 E 13TH ST STE 130
LOVELAND CO, 80537-5135, US
Phone (970) 663-5437
Fax (913) 588-6280
Toxanomy
Taxonomy Code 208000000X
License State Kansas
License Number 94-07861
Remove 1205196391 NPI Number
 

According to our database, Bradley Ethington DO NPI is 1205196391, taxonomy code is 208000000X and license number is 94-07861, license state is located at Kansas. Bradley Ethington DO physically located at 2555 E 13th St Ste 130, Loveland CO, 80537-5135. NPI Number Bradley Ethington DO has the Individual type.

Sponsored links

1205196391 NPI number is provided on an as is basis without warranty of any kind. 1205196391 is maintained by the National Plan & Provider Enumeration System. The contents of Bradley Ethington DO are for informational purposes only.