| Doctor Name: | DR. GARY L RITCHIE |
| NPI Number: | 1538286596 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D.,P.C. |
| License Number: | CO17589 |
| Business Practice Address: | 1415 N 15th St Canon City, CO - 812124624 |
| Business Phone Number: | 7192752034 |
| Business Fax Number: | 7192752034 |
| Mailing Address: | 1415 N 15th St, CANON CITY |
| State: | CO |
| Postal Code: | 812124624 |
| Phone Number: | 7192752034 |
| Fax Number: | 7192752034 |
| NPI Enumeration Date: | 03/23/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | CO17589 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |