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Organization

CHARLES RYAN, MD, APC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES RYAN MD (PHYSICIAN)
(907) 562-2423
Entity
Organization

Contact information

Practice address
3340 PROVIDENCE DR, SUITE 466, ANCHORAGE, AK 99508-4616
(907) 562-2423
(907) 563-1170
Mailing address
3340 PROVIDENCE DR, SUITE 466, ANCHORAGE, AK 99508-4616
(907) 562-2423
(907) 563-1170

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1744
AK

Other

Enumeration date
07/08/2006
Last updated
08/22/2020
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