Individual
DR. RYAN KEITH COOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2020 CAPITOL ST NE, SALEM, OR 97301-0644
(503) 399-2424
Mailing address
PO BOX 8100, SALEM, OR 97303-0900
(503) 399-2424
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME84064
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263651400
—
FL
Enumeration date
08/25/2006
Last updated
02/01/2010
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