Most Relevant Information
Provider Data
| NPI Number: | 1003220815 |
| Provider Name: | RYAN BIRD |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/19/2014 |
| Last Updated: | 06/19/2014 |
Provider Practice Location
1140 W SOUTH BOULDER RD
SUITE 202
LAFAYETTE
CO
800262854
Practice Location Phone/Fax
| Phone: | 3036041444 |
| Fax: | 3036660911 |
Provider Mailing Location
1140 W SOUTH BOULDER RD
SUITE 202
LAFAYETTE
CO
800262854
Provider Mailing Phone/Fax
| Phone: | 3036041444 |
| Fax: | 3036660911 |