Provider Demographics
NPI:1396717138
Name:MEINIG, RICHARD P (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:P
Last Name:MEINIG
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:4105 BRIARGATE PARKWAY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-3487
Mailing Address - Country:US
Mailing Address - Phone:719-473-3332
Mailing Address - Fax:719-368-6870
Practice Address - Street 1:4105 BRIARGATE PARKWAY
Practice Address - Street 2:SUITE 300
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-3487
Practice Address - Country:US
Practice Address - Phone:719-473-3332
Practice Address - Fax:719-368-6870
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
COCO27219207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01872194Medicaid
COCR7818Medicare PIN
E46952Medicare UPIN