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
- City
- Fort Collins
- State
- Colorado
- ZIP Code
- 80524-3557
- Phone
- (970) 484-6303
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery - Plastic and Reconstructive Surgery — Plastic 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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