Individual
RYAN O'DELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2373 G RD STE 280, GRAND JCT, CO 81505-1006
(970) 243-9343
(970) 241-6894
Mailing address
PO BOX 1727, GRAND JCT, CO 81502-1727
(702) 439-3409
(970) 241-6894
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DR.0066774
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2016
Last updated
09/10/2021
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