Organization
DAVID M RYAN, D.O.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MICHAEL RYAN D.O. (OWNER)
(509) 374-4166
Entity
Organization
Contact information
Practice address
1410 N PITTSBURG ST STE A, KENNEWICK, WA 99336-8211
(509) 374-4166
(509) 374-4167
Mailing address
1410 N PITTSBURG ST STE A, KENNEWICK, WA 99336-8211
(509) 374-4166
(509) 374-4167
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP00001368
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7128952
—
WA
Enumeration date
01/03/2007
Last updated
02/23/2011
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