Individual
DR. RYAN JEREMIAH HALPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3901 CAPITAL MALL DR SW, STE A, OLYMPIA, WA 98502-8654
(360) 786-8990
(360) 786-9010
Mailing address
PO BOX 368, OLYMPIA, WA 98507-0368
(360) 455-5144
(360) 491-7536
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
036.123343
IL
207T00000X
Neurological Surgery Physician
Primary
MD60170876
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036.123343
ILLINOIS STATE MEDICAL LICENSE
IL
05
—
2012038
—
WA
01
—
MD60170876
MEDICAL LICENSE
WA
Enumeration date
08/04/2008
Last updated
12/18/2019
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