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Individual

DR. RYAN JONATHAN MAYBROOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
14100 E ARAPAHOE RD STE 130, CENTENNIAL, CO 80112-4478
(303) 341-5751
(303) 341-2618
Mailing address
4900 S MONACO ST STE 210, DENVER, CO 80237-3487
(303) 341-5751
(303) 341-2618

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
55224
CO
207RC0000X
Cardiovascular Disease Physician
Primary
55224
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
416365YPNQ
MEDICARE
CO
05
92000355
CO
01
NA2301015
MEDICARE
NE
Enumeration date
03/26/2008
Last updated
07/21/2022
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