Individual
RYAN WYCLIFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3298
(714) 880-7812
Mailing address
20 PACIFIC GRV, IRVINE, CA 92602-1017
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20A19615
CA
Other
Enumeration date
04/05/2017
Last updated
10/10/2022
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