Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QS0010X | Family Doctor - Sports Medicine | 34-013025 | OH |
Y | 207QS0010X | Family Doctor - Sports Medicine | 34.013025 | OH |
NPI | 1134547615 |
---|---|
Provider Name | Ryan E Hunt |
First Address | Marysville, OH 43040 |
Second Address | Marysville, OH 43040-7115 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2014 |
Last Update Date | 08/06/2021 |