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Individual

DR. RYAN JOSEPH NEWMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
919 MAIN ST, GOODLAND, KS 67735-2940
(785) 890-3937
(785) 890-3938
Mailing address
919 MAIN ST, GOODLAND, KS 67735-2940
(785) 890-3937
(785) 890-3938

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1626
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200255000B
KS
01
205477995
TRICARE
KS
01
P00469603
RAILROAD MEDICARE PART B
KS
Enumeration date
01/23/2007
Last updated
10/04/2011
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