Individual
RYDER P GWINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 BROADWAY, STE 901, SEATTLE, WA 98122-4396
(206) 386-3880
(206) 386-3882
Mailing address
PO BOX 84026, SEATTLE, WA 98124-8426
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD00043991
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0187914
LABOR AND INDUSTRIES
WA
05
—
8403511
—
WA
Enumeration date
12/06/2006
Last updated
05/25/2021
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