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MICHAEL RYAN AUSTIN D.O.
>> General Practice >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1477828861
Individual Registrant: MICHAEL RYAN AUSTIN D.O.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
22 AREA BRANCH MEDICAL CLINIC CAMP PENDLETON CAMP PENDLETON, CA 92055 US
Tel: 760-725-4143 Fax: --
Tel: 760-725-4143 Fax: --
Contact information for business:
2756 VILLAS WAY SAN DIEGO, CA 92108-6730 US
Tel: 707-486-1051 Fax: --
Tel: 707-486-1051 Fax: --
Registration Information:
NPI: 1477828861
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 208D00000X | Allopathic & Osteopathic Physicians General Practice | CA | 20A12921 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
