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Individual

DR. RYAN SCOTT FORDT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C

Contact information

Practice address
2665 E TUDOR RD STE 201, ANCHORAGE, AK 99507
(907) 222-5100
(907) 222-5412
Mailing address
2665 E TUDOR RD STE 201, ANCHORAGE, AK 99507-1144
(907) 222-5100
(907) 222-5412

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
134387
AK
111N00000X
Chiropractor
2301010354
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
G45051002
AK
Enumeration date
08/12/2015
Last updated
07/05/2018
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