Individual
AUSTIN ETHRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
22101 COUNTY ROAD 22, HUDSON, CO 80642-9514
(970) 673-2650
Mailing address
22101 COUNTY ROAD 22, HUDSON, CO 80642-9514
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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