Individual
JEFF L RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7559 N TONGASS HWY, KETCHIKAN, AK 99901-9182
(907) 228-0185
(907) 225-0184
Mailing address
PO BOX 7132, KETCHIKAN, AK 99901-2132
(907) 228-0185
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
116345
AK
208600000X
Surgery Physician
MD22074
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123075
—
AL
Enumeration date
06/07/2006
Last updated
01/13/2023
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