Individual
DR. RYAN CLARK MCCUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1380 E MEDICAL CENTER DR, ST GEORGE, UT 84790-2123
(435) 251-2205
(435) 251-2202
Mailing address
PO BOX 30309, CHARLESTON, SC 29417-0309
(843) 284-3400
(843) 284-3401
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4792095
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870376400001D6096
—
UT
Enumeration date
02/20/2006
Last updated
02/29/2008
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