Individual
JEFFREY WILLIAM RICKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
200 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(303) 689-4444
Mailing address
DEPT 1265, DENVER, CO 80256-0001
(866) 898-7136
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2825
WI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
46598
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
92584268
—
CO
Enumeration date
05/31/2007
Last updated
02/16/2024
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