Healthcare Provider Details

I. General information

NPI: 1356360853
Provider Name (Legal Business Name): ANTHONY RICHARDS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 COLUMBINE LN
RIDGWAY CO
81432-9703
US

IV. Provider business mailing address

50 COLUMBINE LN
RIDGWAY CO
81432-9703
US

V. Phone/Fax

Practice location:
  • Phone: 970-626-5914
  • Fax:
Mailing address:
  • Phone: 970-626-5914
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number24533
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: