Individual
RICKY R EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
24300 E SMOKY HILL RD UNIT 120, AURORA, CO 80016-1387
(303) 330-0410
(303) 330-0732
Mailing address
1805 SHEA CENTER DR STE 301, HIGHLANDS RANCH, CO 80129-2277
(303) 330-0410
(303) 330-0732
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2701
CO
363AM0700X
Medical Physician Assistant
645
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06550037
—
CO
01
—
37895
BCBS
—
01
—
8834
MIDLANDS CHOICE
—
Enumeration date
08/31/2006
Last updated
09/16/2021
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