Individual
JOHN A RYAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 9TH AVE, MS:M4-PA, SEATTLE, WA 98101-2756
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00015964
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039588
LABOR & INDUSTRY
WA
01
—
0200236001
RAILROAD MEDICARE
—
01
—
804194500
IDAHO MEDICAID
WA
05
—
8267502
—
WA
01
—
MD964WA
ALASKA MEDICAID
WA
01
—
US0861526
AETNA/USHC SPECIALIST
WA
Enumeration date
08/15/2006
Last updated
02/14/2012
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