Healthcare Provider Details

I. General information

NPI: 1497903249
Provider Name (Legal Business Name): DAWN MARGARET RYNES MT, ASCP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/05/2008
Last Update Date: 09/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4775 ARGONNE ST APT M202
DENVER CO
80249-7433
US

IV. Provider business mailing address

4775 ARGONNE ST APT M202
DENVER CO
80249-7433
US

V. Phone/Fax

Practice location:
  • Phone: 303-969-8194
  • Fax:
Mailing address:
  • Phone: 303-969-8194
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZI1000X
TaxonomyMedical Illustrator
License NumberMT-154476
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: