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NPI Code Detail

MEDICARE: BRANDON LEELAN RYHLICK DO

MEDICARE: BRANDON LEELAN RYHLICK DO
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
1208M00000XHospitalist Physician34.014108OH
2390200000XStudent in an Organized Health Care Education/Training Program
3207R00000XInternal Medicine Physician34.014108OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225535578
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRANDON LEELAN RYHLICK DO
Provider Business Mailing Address
First Line : 405 W GRAND AVE
Second Line :
City : DAYTON
State : OH
Zip : 45405-7538
Country : US
Telephone Number : 937-558-0200
Fax Number : 937-558-0158
Provider Business Practice Location Address
First Line : 405 W GRAND AVE
Second Line :
City : DAYTON
State : OH
Zip : 45405-7538
Country : US
Telephone Number : 937-558-0200
Fax Number : 937-558-0158
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2018
Last Update Date : 04/08/2026

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Directions to “ BRANDON LEELAN RYHLICK DO” Practice Location

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