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Michael Parramore Ryan, PA Valid NPI

Individual provider · Physician Assistant · Pleasant Grove, UT

NPI
1720396153
Type
Individual (Type 1)
Primary specialty
Physician Assistant
Specialty group
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy code
363A00000X
License number
77698081206 (UT)
Sex
Male
Sole proprietor
Yes
Enumerated
2010-09-20
Last updated
2010-09-20
Practice location
1912 W 930 N
Pleasant Grove, UT 84062-4104
(801) 922-9372

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