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1043292196
RYAN P GALLIVAN
BEND, OR
NPI
1043292196
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: OR 23746)
Enumeration Date
2005-11-15
Last Update Date
2008-03-10
Business Address
Dr. RYAN P GALLIVAN MD
2450 NE MARY ROSE PL SUITE 120
BEND, OR 97701-7132
Phone number: 541-382-3100
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Mailing Address
Dr. RYAN P GALLIVAN MD
2450 NE MARY ROSE PL SUITE 120
BEND, OR 97701-7132
Phone number: 541-382-3100
Copy
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