Individual
DR. JACQUELYN ANN RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4815 N ASSEMBLY ST, SPOKANE, WA 99205-6185
(509) 434-7602
Mailing address
4815 N ASSEMBLY ST, SPOKANE, WA 99205-6185
(509) 434-7600
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
MD40351
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000334
—
OR
01
—
0151249
LABOR & INDUSTRIES
WA
05
—
352261
—
MT
05
—
8284515
—
WA
Enumeration date
06/30/2006
Last updated
07/24/2007
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