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MICHAEL RYAN AUSTIN D.O.

>> General Practice >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1477828861

Individual Registrant:
 MICHAEL RYAN AUSTIN D.O.
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: --

Contact information for business:
2756 VILLAS WAY  SAN DIEGO, CA 92108-6730 US
Tel: 707-486-1051  Fax: --

Registration Information:
NPI: 1477828861
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208D00000XAllopathic & Osteopathic Physicians
General Practice
CA20A12921

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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