Individual
JORDAN RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8989 WINTON RD STE 100, CINCINNATI, OH 45231-3817
(513) 761-2776
(513) 679-4866
Mailing address
8989 WINTON RD STE 100, CINCINNATI, OH 45231-3817
(513) 761-2776
(513) 679-4866
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125067413
IL
207Q00000X
Family Medicine Physician
Primary
35.147690
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030854
—
OH
Enumeration date
06/11/2015
Last updated
11/14/2023
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