MEDICARE: DR. RYAN CHRISTOPHER SHEFFIELD 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
1	207Q00000X	Family Medicine Physician	23438	NE

General Provider Information

NPI Number	:	1629175971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RYAN CHRISTOPHER SHEFFIELD M.D.

Provider Business Mailing Address
First Line	:	PSC 80 BOX 16801
Second Line	:
City	:	APO
State	:	AP
Zip	:	96367-0069
Country	:	US
Telephone Number	:	01181989820408
Fax Number	:

Provider Business Practice Location Address
First Line	:	18 MDOS/SGOL
Second Line	:	UNIT 5142
City	:	KADENA AB
State	:	APO, AP
Zip	:	96368
Country	:	JP
Telephone Number	:	011816117304060
Fax Number	:

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

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	10/07/2008

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