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NPI Code Detail

MEDICARE: DR. RYAN CHARLES PALMER D.O.

MEDICARE:  DR. RYAN CHARLES PALMER  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
1207Y00000XOtolaryngology Physician03534KY
2207YS0123XFacial Plastic Surgery PhysicianOT012558PA
3207Y00000XOtolaryngology Physician02004143AIN

General Provider Information

NPI Number : 1023273810
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RYAN CHARLES PALMER D.O.
Provider Business Mailing Address
First Line : 1401 PROFESSIONAL BLVD
Second Line :
City : EVANSVILLE
State : IN
Zip : 47714-8014
Country : US
Telephone Number : 816-820-6595
Fax Number :
Provider Business Practice Location Address
First Line : 1401 PROFESSIONAL BLVD
Second Line :
City : EVANSVILLE
State : IN
Zip : 47714-8014
Country : US
Telephone Number : 812-473-2060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2008
Last Update Date : 04/12/2024

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Directions to “ DR. RYAN CHARLES PALMER D.O.” Practice Location

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