Ethan Dvorak

NPI 1740090232 · on the registry since 2025 · sole proprietor

Practice

Address: 3401 S Lafayette St
Englewood, CO 80113
Phone: (720) 838-2219
Organisation at this address: Malka Medical Pc
American Housing Foundation I
Chateau Julia Healthcare, Inc.
Chateau Julia Healthcare, Inc.
Constitution Road Healthcare, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 16

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: CO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-01-08

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