Provider Demographics
NPI:1598742157
Name:RYAN, ALLISON POPE (DO)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:POPE
Last Name:RYAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1902 WHISPERING CIR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012-3485
Mailing Address - Country:US
Mailing Address - Phone:702-896-4279
Mailing Address - Fax:702-450-6497
Practice Address - Street 1:1902 WHISPERING CIR
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89012-3485
Practice Address - Country:US
Practice Address - Phone:702-896-4279
Practice Address - Fax:702-450-6497
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1051207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine