Individual
DR. RYAN KEITH BRISLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1408 CAMPBELL DR STE 201, IRONTON, OH 45638-2301
(740) 534-9195
(740) 534-9327
Mailing address
305 N 5TH ST, IRONTON, OH 45638-1578
(740) 532-3534
(740) 532-0027
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35.096567
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0071860
—
OH
05
—
3810024385
—
WV
05
—
7100221840
—
KY
Enumeration date
03/27/2009
Last updated
04/03/2013
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