Individual
RYAN GOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7710 MERCY RD, OMAHA, NE 68124-2372
(402) 717-0759
(402) 717-0770
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
(402) 398-6248
(402) 829-8513
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2637
NE
Other
Enumeration date
03/04/2020
Last updated
07/20/2021
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