Individual
RICKY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2001 S SHIELDS ST, FORT COLLINS, CO 80526-1827
(970) 494-4200
Mailing address
4856 INNOVATION DR, FORT COLLINS, CO 80525-5539
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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