Ethan Demiller

NPI #1659007748 in Greeley, Colorado

Provider Information

NPI Number: 1659007748
Entity Type: Individual
Name: Ethan Demiller
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jul 29, 2022
Last Updated: Jul 29, 2022

Practice Location

Address: 928 12TH ST
City: Greeley
State: Colorado
ZIP Code: 80631-4024
Phone: (970) 347-2120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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