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Individual
JIMMY LYNN RYAN
Active
Individual
JIMMY LYNN RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
172229-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071262
SELECT HEALTH
UT
01
—
870641072RY1
EDUCATORS MUTUAL
UT
01
—
PR00710
MOLINA HEALTHCARE
UT
01
—
QM0000032877
ALTIUS HEALTH PLANS
UT
Enumeration date
06/15/2006
Last updated
02/25/2015
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