Individual
BONITA ANNETTE RYALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
731 SUMMIT AVE, MEDFORD, OR 97501-2349
(541) 842-3771
(541) 842-3084
Mailing address
931 CHEVY WAY, MEDFORD, OR 97504-4127
(541) 690-3555
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
75721
NC
Other
Enumeration date
02/22/2006
Last updated
01/23/2020
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