Individual
ROBERT B BRICCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MERCADO ST STE 160, DURANGO, CO 81301-7309
(970) 385-9850
(970) 385-9854
Mailing address
1 MERCADO ST STE 160, DURANGO, CO 81301-7309
(970) 385-9850
(970) 385-9854
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
44129
CO
207Q00000X
Family Medicine Physician
Primary
0044129
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6003610001
PALMETTO DME
—
05
—
85930539
—
CO
Enumeration date
06/27/2006
Last updated
03/17/2018
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