Individual
RYAN W DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 S TAMIAMI TRL, SARASOTA, FL 34239-3509
(941) 917-9000
Mailing address
PO BOX 16217, IRVINE, CA 92623-6217
(949) 263-8620
(949) 263-0473
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
A75710
CA
2085R0202X
Diagnostic Radiology Physician
MD61553121
WA
2085R0202X
Diagnostic Radiology Physician
Primary
ME0116692
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A757100
BLUE SHIELD
CA
05
—
00A757100
—
CA
Enumeration date
06/06/2006
Last updated
09/13/2024
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