Individual
RYAN L HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 E PROSPECT RD, FORT COLLINS, CO 80525-9718
(970) 493-0112
Mailing address
2500 E PROSPECT RD, FORT COLLINS, CO 80525-9773
(970) 493-0112
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
DR.0048596
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144377037
—
WY
05
—
32934521
—
CO
01
—
P00898194
RR MEDICARE
CO
Enumeration date
01/04/2007
Last updated
12/16/2019
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