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Contact Information

RYAN J LARSEN
1050 E MAIN ST STE 2
BOZEMAN, MT59715-3823
 Phone: 406-587-8478
 Fax: 406-582-0730
 Website:
 

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
Indicates primary specialty

NPI Profile & details for RYAN J LARSEN · (Male)

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
  • MT License # 164888
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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