Individual
MR. RYAN ROBERT CALLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RYAN R CALLAN
Contact information
Practice address
210 W SPRAGUE AVE, SPOKANE, WA 99201
(509) 714-7543
Mailing address
3218 E 21ST AVENUE, SPOKANE, WA 99223
(509) 714-7543
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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