Individual
RYAN LANCE DENSMORE
Active
Individual
RYAN LANCE DENSMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R-11305
IA
207LA0401X
Addiction Medicine (Anesthesiology) Physician
R-11305
IA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
R-11305
IA
207LH0002X
Hospice and Palliative Medicine (Anesthesiology) Physician
R-11305
IA
207LP2900X
Pain Medicine (Anesthesiology) Physician
R-11305
IA
207LP3000X
Pediatric Anesthesiology Physician
R-11305
IA
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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