Organization
STEVEN J. RYAN, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN J. RYAN M.D. (PRESIDENT)
(402) 614-4861
Entity
Organization
Contact information
Practice address
12020 SHAMROCK PLZ STE 200, OMAHA, NE 68154-3537
(402) 504-1736
(402) 331-1557
Mailing address
8124 S 92ND AVE, LA VISTA, NE 68128-3203
(402) 614-4861
(402) 333-1557
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
16685
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RY060501
—
NE
Enumeration date
10/02/2017
Last updated
06/16/2018
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