MEDICARE: ERIC O RIDINGS M.D.

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	208100000X	Physical Medicine & Rehabilitation Physician	35179	CO

General Provider Information

NPI Number	:	1538177076
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC O RIDINGS M.D.

Provider Business Mailing Address
First Line	:	455 E PIKES PEAK AVE
Second Line	:	SUITE 102
City	:	COLORADO SPGS
State	:	CO
Zip	:	80903-3648
Country	:	US
Telephone Number	:	719-636-3333
Fax Number	:	719-636-0025

Provider Business Practice Location Address
First Line	:	455 E PIKES PEAK AVE
Second Line	:	SUITE 102
City	:	COLORADO SPGS
State	:	CO
Zip	:	80903-3648
Country	:	US
Telephone Number	:	719-636-3333
Fax Number	:	719-636-0025

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

Provider Enumeration Date	:	08/03/2006
Last Update Date	:	05/07/2010

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Directions to “ ERIC O RIDINGS M.D.” Practice Location

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