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Individual

RYAN BIRD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1140 W SOUTH BOULDER RD, SUITE 202, LAFAYETTE, CO 80026-2854
(303) 604-1444
(303) 666-0911
Mailing address
1140 W SOUTH BOULDER RD, SUITE 202, LAFAYETTE, CO 80026-2854
(303) 604-1444
(303) 666-0911

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
06/19/2014
Last updated
06/19/2014
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