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NPI Code Detail

MEDICARE: DR. WILLIAM RUSSELL RYAN M.D.

MEDICARE:  DR. WILLIAM RUSSELL RYAN  M.D.
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
1207YX0007XPlastic Surgery within the Head & Neck (Otolaryngology) PhysicianA97821CA

General Provider Information

NPI Number : 1184811549
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM RUSSELL RYAN M.D.
Provider Business Mailing Address
First Line : PO BOX 276950
Second Line :
City : SACRAMENTO
State : CA
Zip : 95827-6950
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2340 CLAY ST FL 5
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94115-1932
Country : US
Telephone Number : 415-600-3073
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2007
Last Update Date : 01/13/2026

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Directions to “ DR. WILLIAM RUSSELL RYAN M.D.” Practice Location

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