| Doctor Name: | DR. JOHN GERARD RYAN |
| NPI Number: | 1184828410 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 2006028232 |
| Business Practice Address: | Mallinckrodt Institute Of Radiology - Barnesjewish Hosp 510 South Kingshighway Blvd., Saint Louis, MO - 63110 |
| Business Phone Number: | 3145333161 |
| Business Fax Number: | |
| Mailing Address: | 4466 Olive St, Suite #301 SAINT LOUIS |
| State: | MO |
| Postal Code: | 631081808 |
| Phone Number: | 3145333161 |
| Fax Number: | |
| NPI Enumeration Date: | 06/12/2007 |
| NPI Last Update Date: | 07/18/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | 2006028232 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |