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Dr. Richard Thomas Ethridge, MD
Plastic and Reconstructive Surgery Physician in Fort Collins, Colorado
NPI 1013108299

Richard Thomas Ethridge is a Plastic and Reconstructive Surgery Physician based in Maitland, CO and is specialized in Plastic and Reconstructive Surgery. Richard Thomas Ethridge practices in Fort Collins, CO and has the professional credentials of MD. The NPI Number for Richard Thomas Ethridge is 1013108299 and holds a License No. DR.0063642 (Colorado).

The current practice location address for Richard Thomas Ethridge is 1100 Poudre River Dr Unit A, Fort Collins, CO and can be reached out via phone at 970-484-6303 and via fax at 704-843-0369.

Location: 1100 Poudre River Dr Unit A, Fort Collins, CO, 32751-7172
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013108299
Provider Name
Richard Thomas Ethridge
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1100 Poudre River Dr Unit A, Fort Collins, CO, 32751-7172
Phone Number
970-484-6303
Fax Number
704-843-0369
Provider Enumeration Date
08/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
768289543 01 MYUTMB 768289543
institution
Provider Business Practice Location Address Details
Address
1100 Poudre River Dr Unit A
City
Fort Collins
State
Colorado
Zip
80524-3557
Phone Number
970-484-6303
Fax Number
704-843-0369
person
Provider Business Mailing Address Details
Address
1100 Poudre River Dr Unit A
City
Fort Collins
State
Colorado
Zip
80524-3557
Phone Number
970-484-6303
Fax Number
704-843-0369
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
2086S0122X
License No.
DR.0063642 (Colorado)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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