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NPI Code Detail

MEDICARE: RYAN L ALLEN DO INC

MEDICARE: RYAN L ALLEN DO INC
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
1207Q00000XFamily Medicine Physician20A6685CA

General Provider Information

NPI Number : 1093859621
Entity Type Code : Organization
Provider Name (Legal Business Name) : RYAN L ALLEN DO INC
Provider Business Mailing Address
First Line : 2342 PROFESSIONAL PKWY
Second Line : SUITE 260
City : SANTA MARIA
State : CA
Zip : 93455-1629
Country : US
Telephone Number : 805-348-3910
Fax Number : 805-348-3901
Provider Business Practice Location Address
First Line : 2342 PROFESSIONAL PKWY
Second Line : SUITE 260
City : SANTA MARIA
State : CA
Zip : 93455-1629
Country : US
Telephone Number : 805-348-3910
Fax Number : 805-348-3901
Authorized Official
Title or Position : OWNER
Name : DR. RYAN L ALLEN
Credential : DO
Telephone Number : 805-348-3910
Provider Enumeration Date : 02/16/2007
Last Update Date : 02/07/2014

Similar Medicare Providers

1265417752 — DR. RYAN ALLEN DO
Practice Location Address:
2342 PROFESSIONAL PKWY , SUITE 260
SANTA MARIA, CA
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Practice Phone: 805-348-3910
Practice Fax: 805-348-3901
1235114729 — DR. MICHAEL S HAVERTY MD
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1710966684 — DR. JOY VANTERPOOL M.D.
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1952445595 — MICHAEL S HAVERTY MD INC
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Practice Fax: 805-348-9301
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Practice Location Address:
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1154459774 — MS. DIANNE MARIE DAWES P.A.-C
Practice Location Address:
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Practice Phone: 805-934-2488
Practice Fax:

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