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Individual
DR. RYAN ALLEN
Active
Individual
DR. RYAN ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A6685
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020A66850
BLUE SHIELD OF CALIFORNIA
CA
01
—
20A6685
BLUE CROSS
CA
01
—
G09530
TRI-CARE
—
Enumeration date
12/07/2005
Last updated
01/30/2015
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