Individual
DR. MARK RALPH RYSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.D.
Contact information
Practice address
6287 S REDWOOD RD STE 103, TAYLORSVILLE, UT 84123-6653
(801) 261-2444
Mailing address
6287 S REDWOOD RD STE 103, TAYLORSVILLE, UT 84123-6653
(801) 261-2444
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6540390-9924
UT
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
6540390-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1057428
—
LA
Enumeration date
04/02/2007
Last updated
04/16/2008
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