Ryser, Mark Ralph
Ryser, Mark Ralph is an sole proprietor health care provider with primary practice located at 6287 S Redwood Rd Ste 103 , Taylorsville UT 84123-6653. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Ryser, Mark Ralph can be contacted via phone (801) 261-2444.Contact Information
Primary practice address
6287 S Redwood Rd Ste 103
Taylorsville UT 84123-6653
Phone: (801) 261-2444
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 6540390-9924 | Utah |
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 6540390-1205 | Utah |
Profile Details
NPI number | 1942321518 |
---|---|
LBN Legal business name | Ryser, Mark Ralph |
Credentials | D.M.D., M.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 2nd, 2007 |
Last updated | Apr 16th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1942321518 | NPPES |
Louisiana | MEDICAID | 1057428 |
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