Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | A64579 | CA |
Y | 208600000X | Surgeon | A64579 | CA |
N | 2082S0105X | Plastic Hand Surgeon | A64579 | CA |
N | 208200000X | Surgeon | A64579 | CA |
N | 208600000X | Surgeon | A64579 | CA |
N | 208D00000X | General Practice Physician | A64579 | CA |
NPI | 1235108226 |
---|---|
Provider Name | Mrs. Barbara Jean Ryan |
First Address | Encinitas, CA 92024-2411 |
Second Address | Encinitas, CA 92024-2411 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2006 |
Last Update Date | 12/02/2014 |