Dr Michael Ryan Pc | |
30 Medical Center Blvd Suite 100 Upland PA 19013-3955 | |
(610) 872-1355 | |
(610) 874-2587 |
Full Name | Dr Michael Ryan Pc |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 30 Medical Center Blvd, Upland, Pennsylvania |
Authorized Official Name and Position | Michael D Ryan (OWNER) |
Authorized Official Contact | 6108721355 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dr Michael Ryan Pc 30 Medical Center Blvd Suite 100 Upland PA 19013-3955 Ph: (610) 872-1355 | Dr Michael Ryan Pc 30 Medical Center Blvd Suite 100 Upland PA 19013-3955 Ph: (610) 872-1355 |
NPI Number | 1437104080 |
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Provider Enumeration Date | 05/23/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437104080 | NPI | - | NPPES |
2049879000 | Other | PA | HMO PA GROUP ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | DS016527L (Pennsylvania) | Primary |