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Individual

ROBERT RICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
106 BLANCA AVE, ALAMOSA, CO 81101-2340
(719) 589-3000
(719) 587-1372
Mailing address
PO BOX 5625, DENVER, CO 80217-5625
(719) 589-3000
(719) 587-1372

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24057
CO
207R00000X
Internal Medicine Physician
88292
NM
208M00000X
Hospitalist Physician
24057
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01240571
CO
05
15528367
NM
01
840255530066
ROCKY MTN HEALTH PLANS
CO
01
P00423063
MEDICARE RAILROAD CARRIER
CO
01
RI24057
ANTHEM BC/BS
CO
Enumeration date
03/30/2006
Last updated
12/06/2007
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