Provider Demographics
NPI:1265838668
Name:MUCHOWSKI, RYAN (DPM)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:
Last Name:MUCHOWSKI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11545 SOLAR CIR APT 5305
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-7354
Mailing Address - Country:US
Mailing Address - Phone:573-356-4491
Mailing Address - Fax:844-810-6454
Practice Address - Street 1:19284 COTTONWOOD DR STE 201B
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-3825
Practice Address - Country:US
Practice Address - Phone:720-822-0735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-12
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN006717-1213ES0103X
COPOD.0000887213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery