Individual
RYAN JAMES LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1050 E MAIN ST STE 2, BOZEMAN, MT 59715-3823
(406) 587-8478
(406) 582-0730
Mailing address
401 S ALABAMA ST STE 10, BUTTE, MT 59701-2358
(406) 782-2278
(406) 782-2483
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
164888
MT
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07001458A
IN
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
164888
MT
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
10/29/2020
Last updated
03/25/2026
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