Individual
DR. RYAN THOMAS SWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5715 E 2ND ST, CASPER, WY 82609-4322
(307) 268-7731
(307) 265-2860
Mailing address
PO BOX 128, BELLAIRE, TX 77402-0128
(281) 833-3330
(281) 833-3323
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
6809A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114068000
—
WY
01
—
118696500
WYOMING MEDICAID
WY
01
—
312302
BLUE SHIELD
WY
01
—
314031
BLUE CROSS
WY
01
—
P00049310
RAILROAD MEDICARE
WY
Enumeration date
06/23/2006
Last updated
03/07/2023
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