Individual
RYAN HUNTSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
5125 SKYLINE RD S, SALEM, OR 97306-9413
(855) 248-0051
Mailing address
544 W HILL ST, THOMSON, GA 30824-2117
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP217875
OR
213ES0103X
Foot & Ankle Surgery Podiatrist
36.003811
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
POD001532
GA
Other
Enumeration date
06/30/2014
Last updated
01/17/2024
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