Individual
DR. RYAN W TINGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2316 W CHARLESTON BLVD, SUITE 120, LAS VEGAS, NV 89102-2149
(702) 877-8625
(702) 877-5243
Mailing address
8655 S EASTERN AVE, LAS VEGAS, NV 89123-2839
(702) 877-8625
(702) 877-5243
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0910
NV
213ES0103X
Foot & Ankle Surgery Podiatrist
293
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083723274
—
NV
05
—
61224359
—
NM
01
—
P00857367
RAILROAD MEDICARE
NV
Enumeration date
08/30/2006
Last updated
08/30/2012
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