# GARY L. RITCHIE MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356676266
- **Authorized official:** DR. GARY L RITCHIE (PHYSICIAN)
- **Authorized official phone:** (719) 275-2034

## Contact information

- **Practice address:** 1415 N 15TH ST, CANON CITY, CO 81212-4624
- **Practice address phone:** (719) 275-2034
- **Mailing address:** PO BOX 1146, CANON CITY, CO 81215-1146
- **Mailing address phone:** (719) 275-2034

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | DR 17589 | CO | Yes |

## Other

- **Enumeration date:** 10/09/2009
- **Last updated:** 10/09/2009