Individual
MR. RYAN GLYNN GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1060 ORCHARD AVE, GRAND JUNCTION, CO 81501-2997
(970) 644-3740
Mailing address
1060 ORCHARD AVE, GRAND JUNCTION, CO 81501-2997
(970) 644-3740
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.0004792
CO
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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