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Ethan Matthew Boltz
Student in an Organized Health Care Education/Training Program in Greeley, Colorado
NPI 1356031819

Ethan Matthew Boltz is a Student in an Organized Health Care Education/Training Program based in Greeley, CO. Ethan Matthew Boltz practices in Greeley, CO. The NPI Number for Ethan Matthew Boltz is 1356031819 and holds a License No. (Colorado).

The current practice location address for Ethan Matthew Boltz is 1140 M St, Greeley, CO and can be reached out via phone at 970-347-2120.

Location: 1140 M St, Greeley, CO, 80631-9584
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356031819
Provider Name
Ethan Matthew Boltz
Credential
Provider Entity Type
Individual
Gender
Male
Address
1140 M St, Greeley, CO, 80631-9584
Phone Number
970-347-2120
Fax Number
Provider Enumeration Date
05/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1140 M St
City
Greeley
State
Colorado
Zip
80631-9586
Phone Number
970-347-2120
Fax Number
person
Provider Business Mailing Address Details
Address
1140 M St
City
Greeley
State
Colorado
Zip
80631-9586
Phone Number
970-347-2120
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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