| Ethan Bridge, | |
|
1140 W South Boulder Rd Ste 202, Lafayette, CO 80026-8910 | |
| (303) 604-1444 | |
| Not Available |
| Full Name | Ethan Bridge |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 1140 W South Boulder Rd Ste 202, Lafayette, Colorado |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982562724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA.0009608 (Colorado) | Primary |
| Entity Name | Boulder Valley Center for Dermatology LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306927231 PECOS PAC ID: 9335037159 Enrollment ID: O20040304000928 |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan Bridge, 1140 W South Boulder Rd Ste 202, Lafayette, CO 80026-8910 Ph: Not Available | Ethan Bridge, 1140 W South Boulder Rd Ste 202, Lafayette, CO 80026-8910 Ph: (303) 604-1444 |
Ryan Bird, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1140 W South Boulder Rd, Suite 202, Lafayette, CO 80026 Phone: 303-604-1444 Fax: 303-666-0911 |
Ms. Tabatha Alma Tomajko, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 Exempla Circle, Suite 360, Bluestone Advanced Surgical Care, Lafayette, CO 80026 Phone: 303-689-6560 |
Ean C Moritz, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 280 Exempla Cir, Lafayette, CO 80026 Phone: 303-338-4545 |
Sean J Sands, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 280 Exempla Cir, Lafayette, CO 80026 Phone: 303-338-4545 |
Darla N Lafiette, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 280 Exempla Cir, Lafayette, CO 80026 Phone: 303-338-4545 |
Michael W Frey, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 280 Exempla Cir, Lafayette, CO 80026 Phone: 303-338-4545 |
Tracey Duncan, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 280 Exempla Cir, Lafayette, CO 80026 Phone: 303-338-4545 |