DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RICHARD THOMAS ETHRIDGE, MD

Active Sole Proprietor

DR. RICHARD THOMAS ETHRIDGE, MD is a Plastic and Reconstructive Surgery healthcare provider located in FORT COLLINS, Colorado. NPI 1013108299 is currently active in the NPPES registry. Verify at CMS.

Plastic and Reconstructive Surgery · FORT COLLINS, CO

Registration Details

NPI Number
1013108299
Provider Type
Individual
Gender
Male
NPI Issued
Aug 5, 2007 (19.04312731039 yrs)
Last Updated
Jan 23, 2020
Licenses
DR.0063642 (CO)
M5152 (TX)
Sole Proprietor
Yes

Practice Information

Address
1100 POUDRE RIVER DR UNIT A
FORT COLLINS, CO, 805243557
Browse CO providers · Browse ZIP 80524
Phone
9704846303
Fax
7048430369
Primary Specialty
Plastic and Reconstructive Surgery
2086S0122X

Other Plastic and Reconstructive Surgery Providers in FORT COLLINS, CO

Name Credential NPI
DR. AARON PATICK FRYE M.D. 1619158136
DR. NATHAN PAUL NARASIMHAN M.D. 1164695847
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.