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Individual
RYAN DANIEL ROWAN
Active
Individual
RYAN DANIEL ROWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
67569041206
UT
363A00000X
Physician Assistant
PA-854
ID
363A00000X
Physician Assistant
Primary
PA20137
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487834644
—
ID
01
—
1667771
MEDICARE PTAN
ID
Enumeration date
11/05/2007
Last updated
07/18/2023
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