Provider Demographics
NPI:1831342096
Name:RICHARDS, ERIC PRESTON (MD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:PRESTON
Last Name:RICHARDS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1550 S POTOMAC ST
Mailing Address - Street 2:SUITE 270
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-5455
Mailing Address - Country:US
Mailing Address - Phone:303-750-8000
Mailing Address - Fax:303-750-8000
Practice Address - Street 1:1550 S POTOMAC ST
Practice Address - Street 2:SUITE 270
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-5455
Practice Address - Country:US
Practice Address - Phone:303-750-8000
Practice Address - Fax:303-750-8000
Is Sole Proprietor?:No
Enumeration Date:2008-10-30
Last Update Date:2015-01-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ORLL17838207R00000X
CO0052671207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO22573372Medicaid
CO22573372Medicaid