Organization · Type 2 NPI
Ryan R. Pine, M.d. Ltd
Specialist · Charleston, IL
NPI number
1700139110
Active
Practice location
1605 Reynolds Dr
Charleston, IL 61920-3152
Fax (217) 345-1380
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
About NPI 1700139110
Ryan R. Pine, M.d. Ltd's National Provider Identifier is 1700139110, issued on Oct 23, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Charleston, IL. The record was last updated on Dec 13, 2012.