Individual
DR. RYAN FILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
862 MEINECKE AVE STE 100, SAN LUIS OBISPO, CA 93405-3701
(805) 541-4600
(805) 541-8716
Mailing address
1415 N DEARBORN ST APT 20C, CHICAGO, IL 60610-5534
(480) 236-2446
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
125.083145
IL
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
A177196
CA
Other
Enumeration date
04/17/2019
Last updated
07/18/2025
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