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DR. RALPH EDWARD HOLSWORTH D.O.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1881654150

Individual Registrant:
DR. RALPH EDWARD HOLSWORTH D.O.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
373 E 10TH AVE  SPRINGFIELD, CO 81073-1622 US
Tel: 719-523-6628  Fax: 719-523-4290

Contact information for business:
15300 QUANDARY PEAK RD  PINE, CO 80470-9135 US
Tel: 970-560-0011  Fax: --

Registration Information:
NPI: 1881654150
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
CO37599
N207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
WAOP60185754

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
04837011CO05




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