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1528099017

NPI Code Detail

MEDICARE: JOHN RYAN MEANS MD

MEDICARE: JOHN RYAN MEANS MD

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
1	208600000X	Surgery Physician	2005-00956	NC
2	208600000X	Surgery Physician	12350	MT
3	208600000X	Surgery Physician	MD421084	PA

General Provider Information

NPI Number	:	1528099017
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN RYAN MEANS MD

Provider Business Mailing Address
First Line	:	1333 SURGICAL SERVICES WAY
Second Line	:
City	:	KALISPELL
State	:	MT
Zip	:	59901-4844
Country	:	US
Telephone Number	:	406-751-5392
Fax Number	:	406-751-5406

Provider Business Practice Location Address
First Line	:	1333 SURGICAL SERVICES WAY
Second Line	:
City	:	KALISPELL
State	:	MT
Zip	:	59901-4844
Country	:	US
Telephone Number	:	406-751-5392
Fax Number	:	406-751-5406

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	11/27/2023

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Directions to “ JOHN RYAN MEANS MD” Practice Location

Language	Start Address	Practice Location

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