Individual
RYAN FERREL MANSHOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
9351 GRANT ST, SUITE 100, THORNTON, CO 80229-4358
(303) 280-3893
(303) 280-3908
Mailing address
2801 PURCELL ST, BRIGHTON, CO 80601-3551
(303) 659-3199
(303) 558-8011
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085002874
IL
363A00000X
Physician Assistant
Primary
PA.0003747
CO
Other
Enumeration date
11/15/2006
Last updated
11/12/2015
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