| NPI | 1467086249 |
|---|---|
| Professional Name | DOUGLAS ROBERT RYAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2022-05-04 |