person
Justin B Rydberg, PA
Medical Physician Assistant in Lafayette, Colorado
NPI 1467788448

Justin B Rydberg is a Medical Physician Assistant based in Denver, CO and is specialized in Medical. Justin B Rydberg practices in Lafayette, CO and has the professional credentials of PA. The NPI Number for Justin B Rydberg is 1467788448 and holds a License No. 2906 (Colorado).

The current practice location address for Justin B Rydberg is 280 Exempla Cir, Lafayette, CO and can be reached out via phone at 303-338-4545.

Location: 280 Exempla Cir, Lafayette, CO, 80247-1314
person
Provider Profile Details
NPI Number
1467788448
Provider Name
Justin B Rydberg
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
280 Exempla Cir, Lafayette, CO, 80247-1314
Phone Number
303-338-4545
Fax Number
Provider Enumeration Date
10/26/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
53881826 05 CO
024332 01 CO KAISER COMMERCIAL NUMBER
institution
Provider Business Practice Location Address Details
Address
280 Exempla Cir
City
State
Zip
80026-3370
Phone Number
303-338-4545
Fax Number
person
Provider Business Mailing Address Details
Address
280 Exempla Cir
City
State
Zip
80026-3370
Phone Number
303-338-4545
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
2906 (Colorado)
Definition
Definition to come...
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