Individual
DR. RICHARD LEWIS BRUNDIGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8015 W ALAMEDA AVE, SUITE 050, LAKEWOOD, CO 80226-3075
(303) 237-0086
(303) 237-6112
Mailing address
8015 W ALAMEDA AVE, SUITE 050, LAKEWOOD, CO 80226-3075
(303) 237-0086
(303) 237-6112
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19240
CO
207Q00000X
Family Medicine Physician
7791
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
249201
CIGNA
CO
01
—
79204
BLUE CROSS SHIELD
CO
01
—
802928
AETNA
CO
Enumeration date
10/12/2006
Last updated
07/08/2007
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