Individual
DR. WALTER MATTHEW RYAN III
Active
Individual
DR. WALTER MATTHEW RYAN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
OS10177
FL
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
24463
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279624400
—
FL
Enumeration date
10/24/2005
Last updated
08/04/2023
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