Individual
RYAN JACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2643 PATTERSON RD STE 603, GRAND JUNCTION, CO 81506-1937
(970) 298-3801
(970) 232-2860
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DR.0054067
CO
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
DR.0054067
CO
207VX0000X
Obstetrics Physician
DR.0054067
CO
Other
Enumeration date
05/20/2013
Last updated
09/23/2025
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