RYAN KLOMP AUSTIN

Dr RYAN KLOMP AUSTIN is a male medical professional, specializing in Oral Surgery. He graduated in 2009 from Univ Of Maryland, Baltimore Col Of Dental Surgery.

Contact

5742 S 1475
SUITE 100
OGDEN
UT
844034857

Tel:

RYAN KLOMP AUSTIN Information

Npi 1629205034
Pac Id 4486891298
Professional Enrollment Id I20170221000732
Last Name AUSTIN
First Name RYAN
Middle Name KLOMP
Suffix
Gender M
Credential
Medical School Name UNIV OF MARYLAND, BALTIMORE COL OF DENTAL SURGERY
Graduation Year 2009
Primary Specialty ORAL SURGERY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 5742 S 1475
Line 2 Street Address SUITE 100
Marker Of Address Line 2 Suppression
City OGDEN
State UT
Zip Code 844034857
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment M

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