Individual
DR. COURTNEY TODD TRIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3050 RICHFIELD DR, COLORADO SPRINGS, CO 80919-4535
(719) 445-2282
Mailing address
3050 RICHFIELD DR, COLORADO SPRINGS, CO 80919-4535
(719) 445-2282
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
20A10752
CA
2085R0202X
Diagnostic Radiology Physician
51776
CO
2085R0202X
Diagnostic Radiology Physician
Primary
DR.0049439
CO
2085R0202X
Diagnostic Radiology Physician
OS010785L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DR.0049439
COLORADO LICENSE
CO
01
—
OS14907
FLORIDA LICENSE
FL
Enumeration date
08/30/2005
Last updated
04/06/2018
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