Provider Demographics
NPI:1609103464
Name:WORKMAN, RYAN KENT (DO)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:KENT
Last Name:WORKMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1490 E FOREMASTER DR
Mailing Address - Street 2:STE 220
Mailing Address - City:SAINT GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-4488
Mailing Address - Country:US
Mailing Address - Phone:435-216-7000
Mailing Address - Fax:435-216-7001
Practice Address - Street 1:1490 E FOREMASTER DR
Practice Address - Street 2:STE 220
Practice Address - City:SAINT GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-4488
Practice Address - Country:US
Practice Address - Phone:435-216-7000
Practice Address - Fax:435-216-7001
Is Sole Proprietor?:No
Enumeration Date:2009-11-15
Last Update Date:2017-04-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZR1727207L00000X
NHRT2475207LP2900X
UT9308930-1204207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZR1727OtherARIZONA BOARD OF OSTEOPATHIC EXAMINERS IN MEDICINE AND SURGERY