Individual
BRIAN A RIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7805 W 38TH AVE, WHEAT RIDGE, CO 80033-6109
(303) 431-2900
(303) 431-2999
Mailing address
7805 W 38TH AVE, WHEAT RIDGE, CO 80033-6109
(303) 431-2900
(303) 431-2999
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
29993
CO
2086S0129X
Vascular Surgery Physician
29993
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01299932
—
CO
Enumeration date
11/17/2006
Last updated
08/25/2008
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