Individual
DR. RICHARD LYNN COURSEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1801 16TH ST, GREELEY, CO 80631-5154
(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
2085R0202X
Diagnostic Radiology Physician
04-40540
KS
2085R0202X
Diagnostic Radiology Physician
12300
ND
2085R0202X
Diagnostic Radiology Physician
30406
NE
2085R0202X
Diagnostic Radiology Physician
59353
CO
2085R0202X
Diagnostic Radiology Physician
MD19441
HI
2085R0204X
Vascular & Interventional Radiology Physician
12300
ND
2085R0204X
Vascular & Interventional Radiology Physician
Primary
DR.0059353
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111257112
MEDICARE PIN
KS
05
—
16893
—
ND
01
—
601958YQ33
MEDICARE PIN
CO
01
—
601958YQ3L
MEDICARE PIN
CO
01
—
601958YQN9
MEDICARE PIN
CO
01
—
601958YQPG
MEDICARE PIN
CO
01
—
601958ZLJ3
MEDICARE PIN
CO
01
—
601958ZNTB
MEDICARE PIN
CO
05
—
9000153041
—
CO
01
—
KA3249103
MEDICARE PIN
KS
01
—
NA1214124
MEDICARE PIN
NE
01
—
NA1215125
MEDICARE PIN
NE
01
—
NA2517102
MEDICARE PIN
NE
Enumeration date
06/26/2007
Last updated
11/17/2023
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