Individual
JOHN CALEB RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462
Mailing address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10034612
TX
2085R0202X
Diagnostic Radiology Physician
Primary
DR.0053847
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09970321
—
CO
01
—
111257123
MEDICARE
KS
01
—
702397
MEDICARE
CO
01
—
702398
MEDICARE
CO
01
—
702399
MEDICARE
CO
01
—
702400
MEDICARE
CO
01
—
702401
MEDICARE
CO
01
—
KA3249114
MEDICARE
KS
01
—
NA1214136
MEDICARE
NE
01
—
NA1215137
MEDICARE
NE
01
—
NA2517113
MEDICARE
NE
Enumeration date
05/04/2009
Last updated
03/31/2024
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