Walter Matthew Ryan III DO

NPI 1073503843 - Allergy & Immunology - 207K00000X

NPI Details
NPI 1073503843
Gender Male
Enumeration Date 10/24/2005
Last Updated 09/21/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
350 NW 84TH AVE
SUITE 205
PLANTATION FL, 33324-1817, US
Phone (954) 472-4848
Fax (954) 472-8500
Business Location
11880 SW 40TH ST
SUITE 304
MIAMI FL, 33175-3584, US
Phone (305) 223-8808
Fax (305) 223-8974
Toxanomy
Taxonomy Code 207K00000X
License State Florida
License Number OS10177
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According to our database, Dr. Walter Matthew Ryan III DO NPI is 1073503843, taxonomy code is 207K00000X and license number is OS10177, license state is located at Florida. Walter Matthew Ryan III DO physically located at 350 Nw 84th Ave, Plantation FL, 33324-1817. NPI Number Walter Matthew Ryan III DO has the Individual type.

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1073503843 NPI number is provided on an as is basis without warranty of any kind. 1073503843 is maintained by the National Plan & Provider Enumeration System. The contents of Walter Matthew Ryan III DO are for informational purposes only.