Individual
RYAN FRANKLIN ISOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1055 N 300 W STE 500, PROVO, UT 84604-3312
(801) 357-7704
(801) 357-7424
Mailing address
1055 N 300 W STE 500, PROVO, UT 84604-3312
(801) 357-7704
(801) 357-7424
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
86158471205
UT
207W00000X
Ophthalmology Physician
ME109701
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
86158471205
UT
Other
Enumeration date
12/07/2007
Last updated
08/16/2023
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