Healthcare Provider Details
I. General information
NPI: 1841583622
Provider Name (Legal Business Name): RYAN GREGORY TOOLSON D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/26/2011
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
925 TRAILWOOD DR
YOUNGSTOWN OH
44512-5008
US
IV. Provider business mailing address
925 TRAILWOOD DR
YOUNGSTOWN OH
44512-5008
US
V. Phone/Fax
- Phone: 330-758-7575
- Fax: 330-758-1833
- Phone: 330-758-7575
- Fax: 330-758-1833
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RP1001X |
| Taxonomy | Pulmonary Disease Physician |
| License Number | 34.013634 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: