DR. RYAN W TINGLE DPM NPI 1083723274

NPI Information

DR. Ryan W Tingle, DPM is a foot and ankle surgery podiatrist in Las Vegas, NV with 24 years of experience. DR. Ryan W Tingle, DPM NPI is 1083723274. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduation Year:2000

The provider's business location address is:

2316 W CHARLESTON BLVD
SUITE 120
LAS VEGAS, NV
ZIP 89102-149
Phone: (702) 877-8625
Fax: (702) 877-5243

The NPI 1083723274 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 8/30/2006 and was last updated on 8/30/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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