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NPI Code Detail

MEDICARE: RICHARD RYAN MD

MEDICARE: RICHARD RYAN 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
1207P00000XEmergency Medicine Physician35062203OH

General Provider Information

NPI Number : 1629144365
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD RYAN MD
Provider Business Mailing Address
First Line : PO BOX 636256
Second Line : CENTRAL CREDENTIALING
City : CINCINNATI
State : OH
Zip : 45263-6256
Country : US
Telephone Number : 513-585-5505
Fax Number : 513-585-5511
Provider Business Practice Location Address
First Line : 2950 ROBERTSON AVE STE 2
Second Line :
City : CINCINNATI
State : OH
Zip : 45209-1267
Country : US
Telephone Number : 513-281-4400
Fax Number : 513-281-4832
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2006
Last Update Date : 06/13/2017

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