Organization
MOUNTAIN VIEW SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY RYAN MD (OWNER)
(205) 494-9046
Entity
Organization
Contact information
Practice address
7559 N TONGASS HWY, KETCHIKAN, AK 99901-9182
(907) 228-0185
(907) 225-0184
Mailing address
PO BOX 7132, KETCHIKAN, AK 99901-2132
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1733958
—
AK
Enumeration date
10/31/2022
Last updated
01/13/2023
Update your record
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