Gottfredson, Ryan Clarke

Gottfredson, Ryan Clarke is an individual health care provider with primary practice located at 1100 Wilford Hall Loop Bldg 4554 , Jbsa Lackland TX 78236. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine. Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine is his primary health care specialty. Gottfredson, Ryan Clarke can be contacted via phone (210) 292-6225.

Contact Information

Primary practice address
1100 Wilford Hall Loop Bldg 4554 Jbsa Lackland TX 78236
Phone: (210) 292-6225
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0102203077 Virginia
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 0102203077 Virginia

Profile Details

NPI number 1447562616
LBN Legal business name Gottfredson, Ryan Clarke
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2010
Last updated Jul 27th, 2018 - about 8 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.

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