Individual
MR. RYAN ISADORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5590 AISEK ST, JUNEAU, AK 99801-9522
(907) 780-4048
(907) 780-6083
Mailing address
5597 AISEK STREET, JUNEAU, AK 99801
(907) 780-3023
(907) 780-6083
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710471
—
AK
Enumeration date
10/24/2019
Last updated
12/01/2025
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