Individual
ROBERT CRAIG RATCLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
214 SOUTH 4TH STREET, KREMMLING, CO 80459-0399
(970) 887-5800
Mailing address
419 S WASHINGTON ST, SUITE102, CASPER, WY 82601-2951
(307) 577-4220
(307) 235-0931
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4228A
WY
208600000X
Surgery Physician
Primary
56354
CO
208C00000X
Colon & Rectal Surgery Physician
4228A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107011800
—
WY
01
—
312911
BLUE CROSS BLUE SHIELD
WY
Enumeration date
09/21/2005
Last updated
02/06/2020
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