Individual
JOHN THOMAS RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1171 FAIRWAY BLVD, COLUMBUS, OH 43213-2522
(614) 861-7051
(614) 861-0614
Mailing address
1171 FAIRWAY BLVD, COLUMBUS, OH 43213-2522
(614) 861-7051
(614) 861-0614
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.079529
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2247634
—
OH
Enumeration date
05/08/2006
Last updated
03/15/2011
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