Individual
RYAN M BELLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
755 SCOTT CIR, HICKAM AFB, HI 96853-5399
(808) 430-8898
Mailing address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(757) 754-3477
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
02/02/2023
Last updated
01/27/2026
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