MEDICARE: DR. PATRICK RYAN D.C.

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	111NS0005X	Sports Physician Chiropractor	5595	OR
2	111NS0005X	Sports Physician Chiropractor	33125	CA

General Provider Information

NPI Number	:	1861899742
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICK RYAN D.C.

Provider Business Mailing Address
First Line	:	824 ZION ST
Second Line	:
City	:	NEVADA CITY
State	:	CA
Zip	:	95959-2923
Country	:	US
Telephone Number	:	530-264-7220
Fax Number	:	530-572-1552

Provider Business Practice Location Address
First Line	:	824 ZION ST
Second Line	:
City	:	NEVADA CITY
State	:	CA
Zip	:	95959-2923
Country	:	US
Telephone Number	:	530-264-7220
Fax Number	:	530-572-1552

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

Provider Enumeration Date	:	11/20/2014
Last Update Date	:	11/28/2022

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Directions to “ DR. PATRICK RYAN D.C.” Practice Location

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