Individual
DR. RYAN JON DALISKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1124 N MAIN ST, SIKESTON, MO 63801-5046
(573) 475-7501
Mailing address
1008 N MAIN ST, SIKESTON, MO 63801-5044
(573) 471-1600
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5101020152
MI
Other
Enumeration date
07/12/2012
Last updated
07/29/2021
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