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Organization

ANTHONY M RICCI PHD AND SHARON A BRUNINK PHD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANTHONY MICHAEL RICCI PHD (PRESIDENT)
(719) 594-4407
Entity
Organization

Contact information

Practice address
5085 LIST DR STE 110, COLORADO SPRINGS, CO 80919-3322
(719) 594-4407
(719) 594-4409
Mailing address
5085 LIST DR STE 110, COLORADO SPRINGS, CO 80919-3322
(719) 594-4407
(719) 594-4409

Taxonomy

Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
416
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A0506
MEDICARE GROUP
Enumeration date
11/29/2007
Last updated
11/29/2007
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