Individual provider · Type 1 NPI
Ryan Stalker, DMD
Student in an Organized Health Care Education/Training Program · Sauquoit, NY
NPI number
1821615964
Active
Practice location
9415 Willow Brook Ln
Sauquoit, NY 13456-2811
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1821615964
Ryan Stalker, DMD's National Provider Identifier is 1821615964, issued on Jul 5, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sauquoit, NY. The record was last updated on Jul 5, 2020.