Search › Colorado › 367500000X
Ethan Chupka, CRNA
NPI 1659971034 · on the registry since 2020
Practice
- Address
- 400 W 16th St
Pueblo, CO 81003 - Phone
- (719) 584-4045
- Fax
- (719) 542-0809
- Organisation at this address
- Dexter D Koons Md Pc
Center At Parkview, Llc
Parkview Medical Center
Pueblo Pathology Group, Pc
Parkview Medical Center, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 230
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Also registered as
- 367500000X
163W00000X - Licence states on file
- CO, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado