Most Relevant Information
Provider Data
| NPI Number: | 1003368986 |
| Provider Name: | RYAN BEAM |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/26/2016 |
| Last Updated: | 10/26/2016 |
Provider Practice Location
95 ROCKWAY AVE
SPRINGFIELD
OH
455064141
Practice Location Phone/Fax
| Phone: | 9374080129 |
| Fax: |
Provider Mailing Location
95 ROCKWAY AVE
SPRINGFIELD
OH
455064141
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |