Individual
MR. JOHN PATRICK RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
885 BROADWAY, BANGOR HIGH SCHOOL, BANGOR, ME 04401-2916
(207) 992-5574
(207) 941-6212
Mailing address
885 BROADWAY, BANGOR HIGH SCHOOL, BANGOR, ME 04401
(207) 992-5574
(207) 941-6212
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT28
ME
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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