Individual
DR. RICKY MEDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1725 E BOULDER ST STE 101, COLORADO SPRINGS, CO 80909-5740
(719) 365-6300
(719) 365-6094
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-2403
(970) 490-4173
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
DR.0059222
CO
207T00000X
Neurological Surgery Physician
MD.206106
LA
390200000X
Student in an Organized Health Care Education/Training Program
0116019588
VA
Other
Enumeration date
06/12/2007
Last updated
02/02/2018
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