NPI 1013108299

Richard Thomas Ethridge, MD

Practitioner Plastic and Reconstructive Surgery Physician Fort Collins, CO

Practice location

Address: 1100 Poudre River Dr Unit a, Fort Collins, CO 80524-3557
Phone: (970) 484-6303
Fax: (704) 843-0369
Mailing address: 151 Southhall Ln STE 300, Maitland, FL 32751-7172

Registered specialties (2)

Plastic and Reconstructive Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0122X Licence DR.0063642 (CO)

Other Surgery providers in Colorado →

Plastic and Reconstructive Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 2086S0122X Licence M5152 (TX)

Registry record

NPI: 1013108299
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Aug 2007
Record last updated: 23 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.