Ryan J Thordal, D.O.

NPI #1871848846 in Mcconnell Afb, Kansas

Provider Information

NPI Number: 1871848846
Entity Type: Individual
Name: Ryan J Thordal, D.O.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Credential: D.O.
Enumeration Date: Jul 17, 2012
Last Updated: Apr 12, 2018

Practice Location

Address: 57950 LEAVENWORTH ST
City: Mcconnell Afb
State: Kansas
ZIP Code: 67221-3506
Phone: (316) 759-5116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
General Practice	208D00000X	Primary

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