Individual
DR. CHRISTOPHER RYAN PETTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1746 COLE BLVD STE 150, LAKEWOOD, CO 80401
(303) 914-8800
(303) 716-3777
Mailing address
1746 COLE BLVD STE 150, LAKEWOOD, CO 80401-3267
(303) 914-8800
(303) 716-3777
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0116017273
VA
2085R0202X
Diagnostic Radiology Physician
Primary
DR.0060386
CO
2085R0202X
Diagnostic Radiology Physician
ME105918
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002429100
—
FL
Enumeration date
04/01/2006
Last updated
07/27/2018
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