Whalio Doctors

NPI 1497750855

Michael Hunter Ryan, MD

Practitioner Phlebology Physician Jefferson City, MO

Practice location

Address
1620 Southridge Dr STE B, Jefferson City, MO 65109-4005
Phone
(573) 632-2780
Fax
(573) 632-2784

Registered specialties (3)

Phlebology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 202K00000X Licence 0054 (MO)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence 118143 (MO)
Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 118143 (MO)

Registry record

NPI
1497750855
Entity type
Individual
Sex (as registered)
Male
NPI issued
14 Jun 2005
Record last updated
16 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.