Individual
ETHAN BRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1140 W SOUTH BOULDER RD STE 202, LAFAYETTE, CO 80026-8910
(303) 604-1444
Mailing address
1140 W SOUTH BOULDER RD STE 202, LAFAYETTE, CO 80026-8910
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0009608
CO
363A00000X
Physician Assistant
Primary
—
CO
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/12/2026
Last updated
03/16/2026
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