Healthcare Provider Details

I. General information

NPI: 1780648402
Provider Name (Legal Business Name): RITCHIE H STEED D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2006
Last Update Date: 02/09/2023
Certification Date: 02/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 COFFMAN ST STE. A
LONGMONT CO
80501-8302
US

IV. Provider business mailing address

630 COFFMAN ST STE. A
LONGMONT CO
80501-8302
US

V. Phone/Fax

Practice location:
  • Phone: 303-772-7008
  • Fax: 866-358-1067
Mailing address:
  • Phone: 303-772-7008
  • Fax: 866-358-1067

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number561
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: