| Steven J. Ryan, M.d., P.c. | |
|
12020 Shamrock Plz Ste 200 Omaha NE 68154-3537 | |
| (402) 504-1736 | |
| (402) 331-1557 |
| Full Name | Steven J. Ryan, M.d., P.c. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 12020 Shamrock Plz Ste 200, Omaha, Nebraska |
| Authorized Official Name and Position | Steven J. Ryan (PRESIDENT) |
| Authorized Official Contact | 4026144861 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven J. Ryan, M.d., P.c. 8124 S 92nd Ave La Vista NE 68128-3203 Ph: (402) 614-4861 | Steven J. Ryan, M.d., P.c. 12020 Shamrock Plz Ste 200 Omaha NE 68154-3537 Ph: (402) 504-1736 |
| NPI Number | 1174033310 |
|---|---|
| Provider Enumeration Date | 10/02/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174033310 | NPI | - | NPPES |
| RY060501 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 16685 (Nebraska) | Primary |
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