Individual
RYAN W. COUCHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12855 NORTH FORTY DRIVE, SUITE 125, ST LOUIS, MO 63141
(314) 966-0111
(314) 966-1023
Mailing address
12813 FLUSHING MEADOWS DRIVE, SUITE 210, ST. LOUIS, MO 63131
(314) 966-0111
(314) 966-1023
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
R1P03
MO
Other
Enumeration date
09/20/2005
Last updated
10/21/2011
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