Individual
WILLIAM M RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1010 SPRUCE ST, ESPANOLA HOSPITAL, ESPANOLA, NM 87532-2724
(505) 367-0340
(505) 367-0346
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
80-87
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00012815
—
NM
Enumeration date
06/28/2006
Last updated
03/24/2016
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