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NPI Code Detail

MEDICARE: RYAN E HUNT D.O.

MEDICARE: RYAN E HUNT D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QS0010XSports Medicine (Family Medicine) Physician34-013025OH
2207QS0010XSports Medicine (Family Medicine) Physician34.013025OH

General Provider Information

NPI Number : 1134547615
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN E HUNT D.O.
Provider Business Mailing Address
First Line : 140 COLEMAN'S CROSSING BLVD
Second Line : SUITE 110
City : MARYSVILLE
State : OH
Zip : 43040
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 120 COLEMANS XING STE C
Second Line :
City : MARYSVILLE
State : OH
Zip : 43040-7115
Country : US
Telephone Number : 937-578-4200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2014
Last Update Date : 06/08/2021

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Directions to “ RYAN E HUNT D.O.” Practice Location

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