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Individual

JARVIS RYALS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
84 IRONWEED DR, PUEBLO, CO 81001-1048
(719) 250-3513
Mailing address
84 IRONWEED DR, PUEBLO, CO 81001-1048
(719) 250-3513

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
0020063
CO

Other

Enumeration date
08/01/2016
Last updated
08/01/2016
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