Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 54717 | CO |
NPI | 1003079583 |
---|---|
Provider Name | Dr. Emmett David Ratigan |
First Address | Denver, CO 80230-6440 |
Second Address | Wheat Ridge, CO 80033-6017 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2008 |
Last Update Date | 17/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
411559YVBJ | PTAN (01) | CO |
55407251 | (05) | CO |