Individual
DR. RALPH EDWARD HOLSWORTH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
373 E 10TH AVE, SPRINGFIELD, CO 81073-1622
(719) 523-6628
(719) 523-4290
Mailing address
15300 QUANDARY PEAK RD, PINE, CO 80470-9135
(970) 560-0011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37599
CO
207Q00000X
Family Medicine Physician
OP60185754
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04837011
—
CO
Enumeration date
03/23/2006
Last updated
03/17/2014
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