Individual
DR. RICHARD THOMAS ETHRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 POUDRE RIVER DR UNIT A, FORT COLLINS, CO 80524-3557
(970) 484-6303
(704) 843-0369
Mailing address
151 SOUTHHALL LN STE 300, MAITLAND, FL 32751-7172
(970) 484-6303
(970) 484-3036
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
DR.0063642
CO
2086S0122X
Plastic and Reconstructive Surgery Physician
M5152
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
768289543
MYUTMB 768289543
—
Enumeration date
08/05/2007
Last updated
01/23/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us