Individual
RYAN BRENT UDINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2865 DAGGETT AVE, KLAMATH FALLS, OR 97601-1106
(541) 882-6311
Mailing address
2865 DAGGETT AVE, KLAMATH FALLS, OR 97601-1106
(541) 882-6311
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
010492
OH
207P00000X
Emergency Medicine Physician
Primary
DO160999
OR
Other
Enumeration date
04/15/2009
Last updated
01/24/2017
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