Individual
RYAN IRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
208 NORTH LN, GRAND ISLAND, NE 68803-7011
(316) 253-3778
Mailing address
208 NORTH LN, GRAND ISLAND, NE 68803-7011
(316) 253-3778
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36182
NE
Other
Enumeration date
05/20/2020
Last updated
06/27/2024
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