Individual
DR. RYAN P. TYNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10511 GOLF COURSE RD NW, ALBUQUERQUE, NM 87114-5916
(505) 262-7281
Mailing address
PO BOX 26028, ALBUQUERQUE, NM 87125-6028
(505) 232-1617
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD2012-0220
NM
208600000X
Surgery Physician
N6734
TX
Other
Enumeration date
01/14/2008
Last updated
03/16/2020
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