Individual
RICHARD G. STRAIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
501 W 5TH ST, FLORENCE MEDICAL CENTER, FLORENCE, CO 81226
(719) 784-4816
Mailing address
106 YUCCA AVE, FLORENCE, CO 81226-9548
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.0001035
CO
363LF0000X
Family Nurse Practitioner
Primary
108851
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
POO244759
RRGA
CO
Enumeration date
07/17/2006
Last updated
07/23/2018
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