Individual
DR. BENJAMIN RICHARD RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4881 SUGAR MAPLE DR, WPAFB, OH 45433-5529
(937) 257-0770
Mailing address
4881 SUGAR MAPLE DR, WPAFB, OH 45433-5529
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35.146095.MIL
OH
207P00000X
Emergency Medicine Physician
Primary
35.151522
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2019
Last updated
07/10/2024
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