| NPI | 1760921423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER J RYAN Sole Owner 805-325-9385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60324829) |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |