Individual
RYAN P FALLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2045 FRANKLIN ST, DENVER, CO 80205-5494
(303) 861-3302
(303) 861-3498
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
3816
CO
363A00000X
Physician Assistant
Primary
3816
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64082881
—
CO
Enumeration date
10/04/2013
Last updated
06/14/2026
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