Individual
NATHAN EDWARD RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-4814
Mailing address
56387 BLUE RIDGE DR, SLIDELL, LA 70461-1315
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD2021-0713
NM
Other
Enumeration date
06/09/2016
Last updated
07/12/2021
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