Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 35.099864 | OH |
N | 207YS0123X | Facial Plastic Surgeon | 35.099864 | OH |
NPI | 1144348558 |
---|---|
Provider Name | Dr. Ryan Collar |
First Address | Cincinnati, OH 45219-2364 |
Second Address | Cincinnati, OH 45219-2364 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2007 |
Last Update Date | 18/03/2016 |