Provider Demographics
NPI:1669465183
Name:GOOD, RICHARD L (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:L
Last Name:GOOD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:7780 S BROADWAY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80122-2648
Mailing Address - Country:US
Mailing Address - Phone:303-798-9996
Mailing Address - Fax:303-730-1145
Practice Address - Street 1:7780 S BROADWAY
Practice Address - Street 2:SUITE 100
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-2648
Practice Address - Country:US
Practice Address - Phone:303-798-9996
Practice Address - Fax:303-730-1145
Is Sole Proprietor?:No
Enumeration Date:2005-08-30
Last Update Date:2013-01-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO22610207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO114679OtherAETNA HMO
CO84099770803OtherPACIFICARE
CO04016861Medicaid
CO2988601001OtherCIGNA
CO4009249OtherAETNA PPO
CO84099770803OtherPACIFICARE
CO114679OtherAETNA HMO