Doctor Name: | MR. RICHARD A FLORES |
NPI Number: | 1003034679 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CNIM |
License Number: | 470 |
Business Practice Address: | 10940 S Parker Rd #130 Parker, CO - 801347440 |
Business Phone Number: | 3034263927 |
Business Fax Number: | |
Mailing Address: | 21933 E Ridge Trail Cir, AURORA |
State: | CO |
Postal Code: | 800162665 |
Phone Number: | 3034263927 |
Fax Number: | 7208761315 |
NPI Enumeration Date: | 04/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246ZE0600X |
License Number: | 470 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | Electroneurodiagnostic |
Taxonomy Definition: |