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Individual

RYAN GEGG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
141 MACK BAYOU LOOP STE 102, SANTA ROSA BEACH, FL 32459-7194
(850) 797-6191
(850) 420-8342
Mailing address
141 MACK BAYOU LOOP STE 102, SANTA ROSA BEACH, FL 32459-7194
(850) 797-6191
(850) 420-8342

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
OS17209
FL
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
DO.1715
AL
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
OS17209
FL

Other

Enumeration date
07/02/2012
Last updated
05/12/2022
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