Individual
RYAN POLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 23RD AVE, GREELEY, CO 80634-6070
(970) 810-2424
Mailing address
1600 23RD AVE, GREELEY, CO 80634-6070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35.149515
OH
207Q00000X
Family Medicine Physician
Primary
DR.0073613
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0460336
—
OH
Enumeration date
06/02/2021
Last updated
09/05/2024
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