Ethan Demiller
Ethan Demiller is a Peer Specialist in Greeley, Colorado. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
928 12th StGreeley, CO 80631-4024
Phone: (970) 347-2120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1659007748 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 29, 2022 |
| Last updated in NPPES | July 29, 2022 |
| Certification date | July 29, 2022 |
| Mailing address | 1300 N 17th Ave, Greeley, CO 80631-9584 |
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