Ryan P Gallivan is a Otolaryngology in Bend, Oregon. Ryan P Gallivan practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Ryan P Gallivan is 1043292196. The last update date is 2008-03-10.
Ryan P Gallivan's current location address is 2450 Ne Mary Rose Pl, Bend, Oregon. You can contact this provider via phone number 5413823100 and fax number 5413127050. The mailing address for Ryan P Gallivan is 2450 Ne Mary Rose Pl, Bend, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ryan P Gallivan |
|---|---|
| Address | 2450 Ne Mary Rose Pl, Bend, Oregon |
| Phone Number | 5413823100 |
| Fax Number | 5413127050 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1043292196 |
|---|---|
| Provider Enumeration Date | 2005-11-15 |
| Last Updated Date | 2008-03-10 |
Provider Mailing Address Detail
| Address | 2450 Ne Mary Rose Pl |
|---|---|
| City | Bend |
| State | Oregon (OR) |
| Post Code | 977017132 |
| Phone Number | 5413823100 |
| Fax Number | 5413127050 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | 23746 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 286590 | OR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Ryan P Gallivan by the Centers for Medicare & Medicaid Services?
The Ryan P Gallivan has been assigned the NPI (National Provider Identifier) 1043292196. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Ryan P Gallivan is located?
The Ryan P Gallivan is situated at the following address: 2450 Ne Mary Rose Pl, Bend, OR, 977017132.
What is Ryan P Gallivan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ryan P Gallivan's area of specialization is Otolaryngology, and the corresponding taxonomy code that categorizes this field of practice is 207Y00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1043292196 to Ryan P Gallivan?
The Centers for Medicare & Medicaid Services assigned the 1043292196 to Ryan P Gallivan on 2005-11-15.
When was the information related to Ryan P Gallivan most recently updated or refreshed?
The details pertaining to the Ryan P Gallivan, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-03-10.
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