DR. RYAN GALLIVAN, MD

Otolaryngology

Active Individual
NPI: 1043292196

Practice Address

2450 NE MARY ROSE PL
SUITE 120
Bend, OR 97701

Phone: (541) 382-3100

Specialties

Specialty Code Primary License
Otolaryngology 207Y00000X Yes 23746 (OR)

Frequently Asked Questions

NPI 1043292196 is the National Provider Identifier for DR. RYAN GALLIVAN, MD, a Otolaryngology provider located in Bend, OR. This NPI was enumerated on November 15, 2005.
DR. RYAN GALLIVAN, MD practices at 2450 NE MARY ROSE PL, SUITE 120, Bend, OR 97701.

Quick Facts

NPI
1043292196
Type
Individual
Enumerated
Nov 15, 2005
Last Updated
Mar 10, 2008

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