Individual
RYAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
7700 S BROADWAY, LITTLETON, CO 80122-2602
(303) 730-8900
Mailing address
45 SHERINGTON PL, ATLANTA, GA 30350-4741
(770) 861-5303
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
ANT.0000162
CO
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/23/2021
Last updated
11/03/2021
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