Individual
DR. DAVID NATHANIEL ARTHUR RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
557 W 2600 S, BOUNTIFUL, UT 84010-7717
(801) 298-9155
(801) 298-9156
Mailing address
557 W 2600 S, BOUNTIFUL, UT 84010-7717
(801) 298-9155
(801) 298-9156
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO1000
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100604
—
AL
01
—
51010106
BCBS
AL
Enumeration date
08/11/2006
Last updated
03/07/2023
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