Individual
RYAN MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 23RD AVE, GREELEY, CO 80634-6070
(970) 810-2844
(970) 810-2820
Mailing address
1600 23RD AVE, GREELEY, CO 80634-6070
(970) 810-2844
(970) 810-2820
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PDT.0000547
CO
390200000X
Student in an Organized Health Care Education/Training Program
PDT.0000547
CO
Other
Enumeration date
05/12/2015
Last updated
04/03/2023
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