NPI 1003220815

Ryan Bird

Practitioner Medical Physician Assistant Lafayette, CO

Practice location

Address: 1140 W South Boulder Rd Suite 202, Lafayette, CO 80026-2854
Phone: (303) 604-1444
Fax: (303) 666-0911

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X

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Registry record

NPI: 1003220815
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jun 2014
Record last updated: 19 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.