Individual
DR. RYAN TIMOTHY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4739 EGRET ROCK CIR, ANCHORAGE, AK 99507-4390
(831) 917-8761
Mailing address
4739 EGRET ROCK CIR RM 21005, ANCHORAGE, AK 99507-4390
(831) 917-8761
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A100506
CA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
136059
AK
Other
Enumeration date
02/05/2008
Last updated
10/09/2024
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