MEDICARE: DR. RICHARD G PLUSS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	17767	CO
2	207R00000X	Internal Medicine Physician	17767	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245223544
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD G PLUSS MD

Provider Business Mailing Address
First Line	:	950 E HARVARD AVE
Second Line	:	SUITE 240
City	:	DENVER
State	:	CO
Zip	:	80210-7006
Country	:	US
Telephone Number	:	303-871-0977
Fax Number	:	303-733-2387

Provider Business Practice Location Address
First Line	:	950 E HARVARD AVE
Second Line	:	SUITE 240
City	:	DENVER
State	:	CO
Zip	:	80210-7006
Country	:	US
Telephone Number	:	303-871-0977
Fax Number	:	303-733-2387

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2005
Last Update Date	:	10/21/2010

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