Provider Demographics
NPI:1235339102
Name:RITZER, HIEP L (MD)
Entity Type:Individual
Prefix:
First Name:HIEP
Middle Name:L
Last Name:RITZER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8515 W COAL MINE AVE STE 240
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-4429
Mailing Address - Country:US
Mailing Address - Phone:303-915-0544
Mailing Address - Fax:816-912-3086
Practice Address - Street 1:6105 BEELER ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80238-4095
Practice Address - Country:US
Practice Address - Phone:720-608-1917
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-19
Last Update Date:2020-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO382392083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC811604Medicare PIN
COC811689Medicare PIN