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NPI Code Detail

MEDICARE: RYAN COLLEEN LARKIN

MEDICARE:   RYAN COLLEEN LARKIN
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
1207RS0010XSports Medicine (Internal Medicine) Physician0001597CO

General Provider Information

NPI Number : 1346778420
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN COLLEEN LARKIN
Provider Business Mailing Address
First Line : JAMES W. WILSON JR. CENTER
Second Line : 3333 BEN WEINER DR SUITE 154
City : NEW ORLEANS
State : LA
Zip : 70118
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2240 BUCHTEL BLVD
Second Line :
City : DENVER
State : CO
Zip : 80210-3447
Country : US
Telephone Number : 609-575-6045
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2017
Last Update Date : 03/17/2018

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Directions to “ RYAN COLLEEN LARKIN ” Practice Location

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