Individual
THOMAS E RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11125 DUNN RD, SUITE 100, SAINT LOUIS, MO 63136-6132
(314) 355-5597
Mailing address
11125 DUNN RD, SUITE 100, SAINT LOUIS, MO 63136-6132
(314) 355-5597
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
R1A86
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17379
BLUECROSS/BLUE SHIELD
MO
05
—
201712403
—
MO
01
—
3600007
UNITEDHEALTHCARE
MO
Enumeration date
06/23/2006
Last updated
07/08/2007
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