Provider Demographics
NPI:1558344275
Name:DAARUD, RICHARD SCOTT (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:SCOTT
Last Name:DAARUD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5365 SPINE RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-3324
Mailing Address - Country:US
Mailing Address - Phone:303-269-2500
Mailing Address - Fax:303-661-4346
Practice Address - Street 1:5365 SPINE RD
Practice Address - Street 2:SUITE C
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-3324
Practice Address - Country:US
Practice Address - Phone:303-269-2500
Practice Address - Fax:303-661-4346
Is Sole Proprietor?:No
Enumeration Date:2005-11-28
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO25056207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01250562Medicaid
COD24564Medicare UPIN
CO01250562Medicaid
COCM0418Medicare PIN
COM0418Medicare ID - Type Unspecified