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Individual

DR. RYAN PATRICK VIENNA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
NAVAL HEALTH CLINIC HAWAII, 480 CENTRAL AVENUE, PEARL HARBOR, HI 96860
(808) 474-4242
Mailing address
NAVAL HEALTH CLINIC HAWAII, 480 CENTRAL AVENUE, PEARL HARBOR, HI 96860
(808) 474-4242

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
28945
NE
247200000X
Other Technician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
28945
MEDICAL LICENSE
NE
Enumeration date
10/03/2006
Last updated
05/29/2019
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