NPI Profile for RYAN J LARSEN in BOZEMAN, MT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry | |
Podiatrist |
213E00000X | 48 | Podiatry | |
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI Number | 1972103885 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/29/2020 | |
| Last updated | 03/25/2026 - About 2 months ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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RYAN J LARSEN
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