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Individual
DR. RYAN DUANE BLACK
Active
Individual
DR. RYAN DUANE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
14427A
WY
207YX0602X
Otolaryngic Allergy Physician
14427A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208D00000X
TAXONOMY CODE
OK
Enumeration date
01/04/2007
Last updated
03/18/2025
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