Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | G32857 | CA |
NPI | 1013014265 |
---|---|
Provider Name | Garrett P Ryle |
First Address | Sacramento, CA 95827-2539 |
Second Address | Sacramento, CA 95816-6004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 26/05/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G328570 | (05) | CA |
A45318 | (02) |