Individual
RYAN SCOTT OWSLEY
Active
Individual
RYAN SCOTT OWSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
M8483
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010138580
BLUE SHIELD
ID
01
—
000010144611
BLUE SHIELD
ID
01
—
000010147426
BLUE SHIELD
ID
01
—
070017125
RAILROAD MEDICARE
ID
01
—
48553
BLUE CROSS
ID
01
—
48561
BLUE CROSS
ID
05
—
806364100
—
ID
01
—
B0909
BLUE CROSS
ID
01
—
B0925
BLUE CROSS
ID
Enumeration date
10/21/2005
Last updated
03/17/2021
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