Individual
RICKY L ARTIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2803 ROSLYN ST, DENVER, CO 80238-2624
(303) 403-6300
(303) 403-6315
Mailing address
500 ELDORADO BLVD STE 6250, BROOMFIELD, CO 80021-3421
(303) 272-0768
(303) 318-2488
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25174
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01251743
—
CO
Enumeration date
05/31/2006
Last updated
12/18/2013
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