Individual
CHRISTOPHER LEE RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2380 N 400 E STE A, NORTH LOGAN, UT 84341-1756
(435) 713-1300
(435) 787-7601
Mailing address
PO BOX 743120, ATLANTA, GA 30374-3120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11425307-1204
UT
Other
Enumeration date
05/06/2016
Last updated
12/17/2019
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