Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 19112 | AL |
N | 207XS0117X | Orthopaedic Spine Surgeon | 19112 | AL |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 19112 | AL |
NPI | 1376569327 |
---|---|
Provider Name | Daniel Owen Ryan |
First Address | Gadsden, AL 35901 |
Second Address | Gadsden, AL 35901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
19112 | STATE MED LIC BD (01) | AL |
BR2363303 | DEA (01) | |
G05007 | (02) |