Individual
ETHAN FREDERICK STORTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 436-4949
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
64599
MN
207RA0401X
Addiction Medicine (Internal Medicine) Physician
DR.0065671
CO
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
DR.0065671
CO
Other
Enumeration date
04/12/2017
Last updated
07/23/2024
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