Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213ES0103X | Foot & Ankle Surgery | N006717-1 | NY |
Y | 213ES0131X | Foot Surgery | POD.0000887 | CO |
NPI | 1265838668 |
---|---|
Provider Name | Dr. Ryan Muchowski |
First Address | Parker, CO 80134-7354 |
Second Address | Parker, CO 80138-3825 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/11/2014 |
Last Update Date | 17/01/2022 |