Provider Demographics
NPI:1154632743
Name:RITCH, ERIK DAVID (MD)
Entity type:Individual
Prefix:
First Name:ERIK
Middle Name:DAVID
Last Name:RITCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1208 LUTHER ST
Mailing Address - Street 2:
Mailing Address - City:EADS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-0817
Mailing Address - Country:US
Mailing Address - Phone:719-438-5401
Mailing Address - Fax:719-438-2254
Practice Address - Street 1:1208 LUTHER ST
Practice Address - Street 2:
Practice Address - City:EADS
Practice Address - State:CO
Practice Address - Zip Code:80918-0817
Practice Address - Country:US
Practice Address - Phone:719-438-5401
Practice Address - Fax:719-438-2254
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-29
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO56341 CO207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine