Individual
RYAN DEAN LATERZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204
(303) 436-6000
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4507
(303) 436-6000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
DR.0055552
CO
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
DR.0055552
CO
Other
Enumeration date
06/16/2010
Last updated
09/06/2018
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