Provider Demographics
NPI:1942885173
Name:RYAN WILLIAM MCINTYRE, MD INC.
Entity Type:Organization
Organization Name:RYAN WILLIAM MCINTYRE, MD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:MCINTYRE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:619-913-7200
Mailing Address - Street 1:1910 STATE ST UNIT 309
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101-2233
Mailing Address - Country:US
Mailing Address - Phone:619-913-7200
Mailing Address - Fax:619-913-7273
Practice Address - Street 1:1910 STATE ST UNIT 309
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101-2233
Practice Address - Country:US
Practice Address - Phone:619-913-7200
Practice Address - Fax:619-913-7273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-09
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty