Provider Demographics
NPI:1841587094
Name:BAIR, RYAN JAMES (MD)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:JAMES
Last Name:BAIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5725 KEARNY VILLA RD STE I
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-1134
Mailing Address - Country:US
Mailing Address - Phone:858-256-0351
Mailing Address - Fax:
Practice Address - Street 1:769 MEDICAL CENTER COURT
Practice Address - Street 2:BARNHART CANCER CENTER
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91911-9191
Practice Address - Country:US
Practice Address - Phone:619-502-5851
Practice Address - Fax:619-502-5865
Is Sole Proprietor?:No
Enumeration Date:2011-07-07
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL1250590112085R0001X
CAC1705272085R0001X
IDM-129902085R0001X
WY10732A2085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology