DR. Richard Thomas Ethridge, MD

NPI #1013108299 in Fort Collins, Colorado

Provider Information

NPI Number
1013108299
Entity Type
Individual
Name
DR. Richard Thomas Ethridge, MD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Surgery - Plastic and Reconstructive Surgery
Credential
MD
Enumeration Date
Aug 5, 2007
Last Updated
Jan 23, 2020

Practice Location

Address
1100 POUDRE RIVER DR UNIT A
ZIP Code
80524-3557
Phone
(970) 484-6303

Specialties & Taxonomy Codes

Specialty
Surgery - Plastic and Reconstructive SurgeryPlastic and Reconstructive Surgery

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Organizations

Provider Name
Poudre Valley Medical Group, LLC

Part of Poudre Valley Medical Group, LLC

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