Individual
RYAN PAHLAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(303) 493-7000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4376
CO
363AM0700X
Medical Physician Assistant
Primary
PA.0004376
CO
Other
Enumeration date
10/07/2015
Last updated
10/18/2018
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