Individual
JOSHUA RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1210 W 1210 W 18TH ST STE LL03, SIOUX FALLS, SD 57104-4654
(605) 328-1410
(605) 328-1412
Mailing address
250 N SHADELAND AVE # 200, INDIANAPOLIS, IN 46219-4959
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
12095
SD
2085R0202X
Diagnostic Radiology Physician
01076992A
IN
2085R0202X
Diagnostic Radiology Physician
12095
SD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2014
Last updated
08/25/2020
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