Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 32365 | CO |
N | 208600000X | Surgeon | 32365 | CO |
N | 2082S0105X | Plastic Hand Surgeon | 32365 | CO |
N | 2086S0105X | Surgery of the Hand | 32365 | CO |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 32365 | CO |
NPI | 1629117247 |
---|---|
Provider Name | Dr. Ronald G Ritz |
First Address | Durango, CO 81301-7487 |
Second Address | Durango, CO 81301-7487 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2007 |
Last Update Date | 18/07/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01323658 | (05) | CO |
A90941 | (02) | CO |