Individual
DR. RYAN SCOTT EASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1300 FRANKLIN AVE, NORMAL, IL 61761-3592
(309) 268-5867
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801-2500
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036149450
IL
207L00000X
Anesthesiology Physician
2007018710
MO
Other
Enumeration date
03/18/2008
Last updated
03/26/2024
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