Provider Demographics
NPI:1003079583
Name:RATIGAN, EMMETT DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:EMMETT
Middle Name:DAVID
Last Name:RATIGAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:130 RAMPART WAY
Mailing Address - Street 2:SUITE 300B
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80230-6440
Mailing Address - Country:US
Mailing Address - Phone:303-327-4700
Mailing Address - Fax:303-327-4711
Practice Address - Street 1:3550 LUTHERAN PKWY
Practice Address - Street 2:BLDG 10 SUITE 200
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-6017
Practice Address - Country:US
Practice Address - Phone:720-536-2100
Practice Address - Fax:720-536-2090
Is Sole Proprietor?:No
Enumeration Date:2008-07-05
Last Update Date:2016-11-17
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Provider Licenses
StateLicense IDTaxonomies
CO54717207RN0300X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO411559YVBJOtherPTAN
CO55407251Medicaid
CO411559YVBJMedicare PIN