Randy L Ryan


Address: 3544 Lincoln Ave G, Ogden, UT 84401-4034

Randy L Ryan (NPI# 1578893129, PAC ID# 0941343115) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1578893129
PAC ID by PECOS 0941343115
Professional Enrollment ID I20100210000425
Full Name Randy L Ryan
Address 3544 Lincoln Ave G
Ogden
UT 84401-4034
Gender F
Graduation Year 2006
Primary Specialty PSYCHOLOGIST, CLINICAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
3544 Lincoln Ave G, Ogden, UT 84401-4034

Organization Information

Office Location

Street Address 3544 LINCOLN AVE G
City OGDEN
State UT
Zip 84401-4034

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Gregory Lowell Gochnour Family Medicine 477 23rd St, Ogden, UT 84401-1507
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Stanley T Graham Family Medicine Midtown Community Health Center Inc 2240 Adams Ave, Ogden, UT 84401-1511
Amanda Gougler Physician Assistant Midtown Community Health Center Inc 2240 Adams Ave, Ogden, UT 84401-1511
Tyler James D'hulst Physician Assistant Midtown Community Health Center Inc 2240 Adams Ave, Ogden, UT 84401-1511
Cristina A Regalado Physician Assistant Midtown Community Health Center Inc 2240 Adams Ave, Ogden, UT 84401-1511
Mark D Housley Family Medicine Midtown Community Health Center Inc 2240 Adams Ave, Ogden, UT 84401-1511
Richard J Gregoire Family Medicine Midtown Community Health Center Inc 2240 Adams Ave, Ogden, UT 84401-1511
Tiffanie A Haun Nurse Practitioner Midtown Community Health Center Inc 2240 Adams Ave, Ogden, UT 84401-1511
Jack Crosland Orthopedic Surgery Midtown Community Health Center Inc 2240 Adams Ave, Ogden, UT 84401-1511
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Competitor

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City OGDEN
Zip Code 84401
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty OGDEN + PSYCHOLOGIST, CLINICAL

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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