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Individual
MR. RYAN MICHAEL SPURLIN
Active
Individual
MR. RYAN MICHAEL SPURLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-07750
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508372137
—
NC
05
—
4141PA
—
SC
01
—
NN0844B2342423A
MEDICARE PIN
NC
01
—
SCH2176067
MEDICARE PIN
SC
01
—
SCH2176084
MEDICARE PIN
SC
01
—
SCH217J577
MEDICARE PIN
SC
Enumeration date
12/19/2017
Last updated
12/28/2020
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