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NPI Code Detail

MEDICARE: DANIEL RYAN HUMER PA-C

MEDICARE: DANIEL RYAN HUMER PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant2718CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
220057OTHERCOKAISER COMMERCIAL NUMBER

General Provider Information

NPI Number : 1003053554
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL RYAN HUMER PA-C
Provider Business Mailing Address
First Line : 10200 GRAND CENTRAL AVE STE 220
Second Line :
City : OWINGS MILLS
State : MD
Zip : 21117-4366
Country : US
Telephone Number : 410-581-1600
Fax Number :
Provider Business Practice Location Address
First Line : 10535 PARK MEADOWS BLVD STE 102
Second Line :
City : LONE TREE
State : CO
Zip : 80124-8456
Country : US
Telephone Number : 303-695-6106
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2009
Last Update Date : 05/29/2025

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Directions to “ DANIEL RYAN HUMER PA-C” Practice Location

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