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Contact Information

GORDON A RYAN, MD
1010 MURRAY AVE
SAN LUIS OBISPO, CA93405
 Phone: 805-439-2998
 Fax: 805-439-2997
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GORDON A RYAN · (Male)

NPI Number 1396824546
Status Active
Credentials MD
Entity Individual
Enumeration date 11/06/2006
Last updated 07/19/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • CA License # C145619
  • VA License # 0101034688
  • VA Medicaid 005878900
  • VA Other 12085 SENTARA HEALTH PLANS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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