Basic Information
| Provider Information | |||||||||
| NPI: | 1326005810 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MOHON | ||||||||
| FirstName: | RICKY | ||||||||
| MiddleName: | T | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 12605 E 16TH AVE | ||||||||
| Address2: | |||||||||
| City: | AURORA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800452545 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7208480000 | ||||||||
| FaxNumber: | 7207777283 | ||||||||
| Practice Location | |||||||||
| Address1: | 13123 E 16TH AVE | ||||||||
| Address2: | |||||||||
| City: | AURORA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800457106 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7207771234 | ||||||||
| FaxNumber: | 7207777283 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/27/2006 | ||||||||
| LastUpdateDate: | 04/17/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080P0214X | 16312 | TN | N | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Pulmonology | 208000000X | 16312 | TN | N | Allopathic & Osteopathic Physicians | Pediatrics | 207R00000X | 16312 | TN | N | Allopathic & Osteopathic Physicians | Internal Medicine | 2080S0012X | 16312 | TN | N | Allopathic & Osteopathic Physicians | Pediatrics | Sleep Medicine | 208000000X | 29639 | CO | N | Allopathic & Osteopathic Physicians | Pediatrics | 207R00000X | 29639 | CO | N | Allopathic & Osteopathic Physicians | Internal Medicine | 2080P0214X | 29639 | CO | N | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Pulmonology | 2080S0012X | 29639 | CO | Y | Allopathic & Osteopathic Physicians | Pediatrics | Sleep Medicine |
No ID Information.