Healthcare Provider Details

I. General information

NPI: 1598864662
Provider Name (Legal Business Name): RYAN GEDDES D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 11/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2951 MAPLE AVE
ZANESVILLE OH
43701-1406
US

IV. Provider business mailing address

2951 MAPLE AVE
ZANESVILLE OH
43701-1406
US

V. Phone/Fax

Practice location:
  • Phone: 513-281-4400
  • Fax: 513-587-8213
Mailing address:
  • Phone: 513-281-4400
  • Fax: 513-587-8213

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number34008704
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: