Individual
DR. ALEXEY A RYSKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1075 JADWIN AVE, RICHLAND, WA 99352-3437
(509) 946-3340
(509) 943-7909
Mailing address
P.O. BOX 1408, RICHLAND, WA 99352-1408
(509) 946-3340
(509) 943-7909
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
5566449-1205
UT
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD60323495
WA
208VP0014X
Interventional Pain Medicine Physician
MD60323495
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000067772
MEDICARE PTAN
WA
Enumeration date
07/29/2006
Last updated
10/20/2014
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