Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | MED7510 | AK |
NPI | 1073781951 |
---|---|
Provider Name | Ryan L Ragle |
First Address | Anchorage, AK 99508-5234 |
Second Address | Anchorage, AK 99508-5234 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2008 |
Last Update Date | 16/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1579686 | (05) | AK |