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Individual

DR. RYAN B VIETS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5555 GROSSMONT CENTER DR, LA MESA, CA 91942
(619) 740-4034
(619) 740-4324
Mailing address
7777 ALVARADO ROAD # 108, LA MESA, CA 91942
(619) 460-2770
(619) 460-2774

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
A151144
CA
2085R0202X
Diagnostic Radiology Physician
2012012483
MO
2085R0202X
Diagnostic Radiology Physician
A125809
CA
208600000X
Surgery Physician
A151144
CA

Other

Enumeration date
11/24/2008
Last updated
10/02/2020
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