Ryan P Gallivan MD

NPI 1043292196 - Otolaryngology - 207Y00000X

NPI Details
NPI 1043292196
Gender Male
Enumeration Date 11/15/2005
Last Updated 03/10/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
2450 NE MARY ROSE PL
SUITE 120
BEND OR, 97701-7132, US
Phone (541) 382-3100
Fax (541) 312-7050
Business Location
2450 NE MARY ROSE PL
SUITE 120
BEND OR, 97701-7132, US
Phone (541) 382-3100
Fax (541) 312-7050
Toxanomy
Taxonomy Code 207Y00000X
License State Oregon
License Number 23746
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According to our database, Dr. Ryan P Gallivan MD NPI is 1043292196, taxonomy code is 207Y00000X and license number is 23746, license state is located at Oregon. Ryan P Gallivan MD physically located at 2450 Ne Mary Rose Pl, Bend OR, 97701-7132. NPI Number Ryan P Gallivan MD has the Individual type.

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1043292196 NPI number is provided on an as is basis without warranty of any kind. 1043292196 is maintained by the National Plan & Provider Enumeration System. The contents of Ryan P Gallivan MD are for informational purposes only.