Individual
MR. RYAN A MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
13123 E 16TH AVE DEPT OF, AURORA, CO 80045-7106
(720) 777-4600
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA.0002585
CO
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
02/07/2008
Last updated
11/21/2018
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