Individual
DR. RYAN MICHAEL BART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10TH MEDICAL GROUP, 4102 PINION DR, USAF ACADEMY, CO 80840
(719) 333-5180
Mailing address
2355 FACULTY DR, USAF ACADEMY, CO 80840-1805
(719) 333-5180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2080
NE
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
2080
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2018
Last updated
11/09/2023
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