Individual
RICHARD TED ONTIVEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CST, SA-C
Contact information
Practice address
1600 PRAIRIE CENTER PKWY, BRIGHTON, CO 80601-4006
(303) 498-1600
Mailing address
268 WESTIN AVE, LOCHBUIE, CO 80603-5807
(303) 564-1781
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
15-719
CO
246ZS0410X
Surgical Technologist
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—
Other
Enumeration date
07/14/2011
Last updated
02/07/2019
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