Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | C172740 | CA |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | C172740 | CA |
NPI | 1770555393 |
---|---|
Provider Name | Dr. Paul Mccafferty Ryan |
First Address | Ruston, WA 98407-3146 |
Second Address | Tacoma, WA 98431-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2006 |
Last Update Date | 20/10/2021 |