Individual
MICHAEL RIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
8383 W ALAMEDA AVE, LAKEWOOD, CO 80226-3007
(303) 614-1400
Mailing address
8383 W ALAMEDA AVE, LAKEWOOD, CO 80226-3007
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0172431
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SPECIALTY
—
CO
Enumeration date
08/28/2014
Last updated
08/28/2014
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