Individual
RICHARD SCHELL IDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4110 BRIARGATE PKWY, SUITE 300, COLORADO SPRINGS, CO 80920-7835
(719) 632-7669
(719) 632-0088
Mailing address
4110 BRIARGATE PKWY, SUITE 300, COLORADO SPRINGS, CO 80920-7835
(719) 632-7669
(719) 632-0088
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
36891
CO
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
36891
CO
207XX0801X
Orthopaedic Trauma Physician
36891
CO
2086S0105X
Surgery of the Hand (Surgery) Physician
36891
CO
2086S0129X
Vascular Surgery Physician
36891
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100078690
—
IN
05
—
30301033
—
CO
Enumeration date
08/05/2006
Last updated
06/05/2015
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