Ethan Brilley

NPI #1376065029 in Castle Rock, Colorado

Provider Information

NPI Number: 1376065029
Entity Type: Individual
Name: Ethan Brilley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Enumeration Date: Jul 14, 2017
Last Updated: Aug 31, 2024

Practice Location

Address: 3745 DACORO LN STE 100
City: Castle Rock
State: Colorado
ZIP Code: 80109-2500
Phone: (720) 375-5625

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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