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NPI Code Detail

MEDICARE: ALEXIS DORA RITVO MD MPH

MEDICARE: ALEXIS DORA RITVO MD MPH
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
12084P0802XAddiction Psychiatry PhysicianDR0054928CO

General Provider Information

NPI Number : 1891051090
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS DORA RITVO MD MPH
Provider Business Mailing Address
First Line : 9477 E 4TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80230-6537
Country : US
Telephone Number : 303-724-9416
Fax Number :
Provider Business Practice Location Address
First Line : 1890 N REVERE CT STE 4020
Second Line :
City : AURORA
State : CO
Zip : 80045-7464
Country : US
Telephone Number : 303-724-9416
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2012
Last Update Date : 07/30/2025

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