ETHAN R ELLIS

FORT COLLINS, CO
NPI1316110208
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology
(Licence: CO  DR.0053902)
Additional Taxonomies207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology
(Licence: NE  27958)
207R00000X Internal Medicine
(Licence: MA  235720)
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: CO  DR.0053902)
207R00000X Internal Medicine
(Licence: CO  DR.0053902)
Enumeration Date2008-04-11
Last Update Date2016-03-28
Business Address
ETHAN R ELLIS M.D.
2121 E HARMONY RD STE 100
FORT COLLINS, CO 80528-3400
Phone number: 970-221-1000
Mailing Address
ETHAN R ELLIS M.D.
2121 E HARMONY RD STE 100
FORT COLLINS, CO 80528-3400
Phone number: 970-221-1000