| Doctor Name: | MICHAEL RYAN AUSTIN |
| NPI Number: | 1477828861 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 20A12921 |
| Business Practice Address: | 22 Area Branch Medical Clinic Camp Pendleton Camp Pendleton, CA - 92055 |
| Business Phone Number: | 7607254143 |
| Business Fax Number: | |
| Mailing Address: | 2756 Villas Way, SAN DIEGO |
| State: | CA |
| Postal Code: | 921086730 |
| Phone Number: | 7074861051 |
| Fax Number: | |
| NPI Enumeration Date: | 03/19/2012 |
| NPI Last Update Date: | 02/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 20A12921 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |