Organization
RYAN INTERNAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH T RYAN MD (OWNER)
(928) 773-2560
Entity
Organization
Contact information
Practice address
107 E OAK AVE, SUITE 202, FLAGSTAFF, AZ 86001-1818
(928) 773-2560
(928) 913-8835
Mailing address
107 E OAK AVE, SUITE 202, FLAGSTAFF, AZ 86001-1818
(928) 773-2560
(928) 913-8835
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22530
AZ
Other
Enumeration date
08/22/2006
Last updated
08/22/2020
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