Individual
ELLEN MARIE RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9100 KORNBRUST DR, LONE TREE, CO 80124-5549
(303) 690-9347
Mailing address
9100 KORNBRUST DR, LONE TREE, CO 80124-5549
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
30778
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01307784
—
CO
Enumeration date
09/25/2006
Last updated
07/12/2007
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