Individual
DR. RYAN THOMAS SWAN
Active
Individual
DR. RYAN THOMAS SWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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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