Dr Ryan Jordan Otten, MD | |
9195 Grant St Ste 100, Thornton, CO 80229-4386 | |
(303) 292-0034 | |
(303) 292-0097 |
Full Name | Dr Ryan Jordan Otten |
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Gender | Male |
Speciality | Preventive Medicine - Occupational Medicine |
Location | 9195 Grant St Ste 100, Thornton, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649463407 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2083X0100X | Preventive Medicine - Occupational Medicine | 48032 (Colorado) | Primary |
Entity Name | Rehabilitation Institute Of Washington Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457433104 PECOS PAC ID: 1759390297 Enrollment ID: O20060412000118 |
Mailing Address | Practice Location Address |
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Dr Ryan Jordan Otten, MD 4900 S Monaco St Ste 210, #c, Denver, CO 80237-3487 Ph: (303) 292-0034 | Dr Ryan Jordan Otten, MD 9195 Grant St Ste 100, Thornton, CO 80229-4386 Ph: (303) 292-0034 |
Dee Jay Beach, D.O. Preventive Medicine Medicare: Medicare Enrolled Practice Location: 8515 Pearl St Ste 300, Thornton, CO 80229 Phone: 303-853-8989 | |
Dr. Jeffrey E Hawke, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 9195 Grant St, Suite 100, Thornton, CO 80229 Phone: 303-292-0034 Fax: 303-292-0097 | |
Dean L. Prok, M.D. Preventive Medicine Medicare: Medicare Enrolled Practice Location: 500 E 84th Ave, Suite B-14, Thornton, CO 80229 Phone: 615-778-4066 Fax: 615-778-9114 |