Individual
DR. RYAN DAVID TACKLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3825 EDWARDS RD STE 300, CINCINNATI, OH 45209-1288
(513) 221-1100
(513) 684-4501
Mailing address
PO BOX 643398, CINCINNATI, OH 45264-3398
(513) 221-1100
(513) 684-4501
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
35.122447
OH
Other
Enumeration date
05/04/2010
Last updated
07/28/2020
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