Search › Colorado › Plastic and Reconstructive Surgery Physician
Richard Ethridge, MD
NPI 1013108299 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1100 Poudre River Dr Unit A
Fort Collins, CO 80524 - Phone
- (970) 484-6303
- Fax
- (704) 843-0369
- Organisation at this address
- Internal Medicine Clinic Inc.
Advanced Dermatology Of Colorado, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Registry record
- Primary taxonomy
- Plastic and Reconstructive Surgery Physician
2086S0122X
- Also registered as
- Plastic and Reconstructive Surgery Physician
- Licence states on file
- CO, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-01-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado