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Individual

HOLLY RYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1160 E 3900 S STE 3100, SALT LAKE CITY, UT 84124-1202
(801) 262-2806
(801) 262-2023
Mailing address
PO BOX 281490, ATLANTA, GA 30384-1490

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
13423932-1205
UT

Other

Enumeration date
03/27/2017
Last updated
08/28/2023
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