MR. WILLIAM ETENBURN OPA-C
NPI 1518953363
Physician Assistant - Surgical in Grand Junction, CO
Active since September 26, 2005
About Mr. William Etenburn Opa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. WILLIAM ETENBURN OPA-C (NPI 1518953363) is an individual surgical provider in Grand Junction, Colorado, licensed in Illinois (3) and active in the NPI registry since September 2005.
NPPES Registry Identity
NPI1518953363
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. WILLIAM ETENBURNCredential: OPA-C
Location Address627 25 1/2 RDGrand Junction, CO 81505-6401
Mailing Address627 25 1/2 RdGrand Junction, CO 81505-6401 · (970) 242-3535
Phone(970) 242-3535
Sole ProprietorNo
Enumeration DateSeptember 26, 2005
Last NPPES UpdateNovember 13, 2007
✔ NPI 1518953363 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in IL · 3
627 25 1/2 RD, Grand Junction, CO 81505
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
627 25 1/2 RD
GRAND JUNCTION, CO 81505
GRAND JUNCTION, CO 81505
Physical Medicine & Rehabilitation (Spinal Cord Injury Medicine)
627 25 1/2 RD
GRAND JUNCTION, CO 81505
GRAND JUNCTION, CO 81505
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1518953363, enumerated as an "individual" on September 26, 2005.
The provider is located at 627 25 1/2 RD GRAND JUNCTION, CO 81505 and the phone number is (970) 242-3535.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.