Provider Demographics
NPI:1346295235
Name:FINSTEN, RYAN O (MD)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:O
Last Name:FINSTEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:333 W HAMPDEN AVE
Mailing Address - Street 2:STE 600
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80110-2330
Mailing Address - Country:US
Mailing Address - Phone:303-761-5646
Mailing Address - Fax:720-439-9500
Practice Address - Street 1:333 W HAMPDEN AVE
Practice Address - Street 2:STE 600
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80110-2330
Practice Address - Country:US
Practice Address - Phone:303-761-5646
Practice Address - Fax:720-439-9500
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO55591207L00000X
NV11619207L00000X
VA0101249498207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV11619OtherNEVADA STATE MEDICAL LICE
CAA83533OtherCA PHYSICIAN LICENSE
CO09950061Medicaid
AZ28491OtherARIZONA STATE MEDICAL LIC
CO09950061Medicaid