Individual
SYDNEY RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1034 N 500 W # N500W, PROVO, UT 84604-3380
(801) 357-8411
(801) 357-8412
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
9196472-1205
UT
208M00000X
Hospitalist Physician
Primary
9196472-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2013
Last updated
03/01/2024
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