Individual
RYAN D LOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2600 FERRY ST, LAFAYETTE, IN 47904-3055
(765) 448-8000
(765) 448-8156
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
02002936A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000375431
ANTHEM PROVIDER NUMBER
IN
01
—
11494873
CAQH NUMBER
IN
05
—
200533290
—
IN
01
—
9397235
PHCS PID NUMBER
IN
Enumeration date
03/16/2006
Last updated
01/25/2021
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