Individual
PHILIP MARK RICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1218 N MAIN ST, PUEBLO, CO 81003-2828
(719) 543-7877
(719) 543-7882
Mailing address
1218 N MAIN ST, PUEBLO, CO 81003-2828
(719) 543-7877
(719) 543-7882
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
30678
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01306786
—
CO
Enumeration date
06/20/2005
Last updated
03/03/2026
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