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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RYAN DYSART, CCP

Active

RYAN DYSART, CCP is a Orthotic Fitter healthcare provider located in CONCORD, California. NPI 1316448525 is currently active in the NPPES registry. Verify at CMS.

Orthotic Fitter · CONCORD, CA

Registration Details

NPI Number
1316448525
Provider Type
Individual
Gender
Male
NPI Issued
Feb 22, 2018 (8.4333158103184 yrs)
Last Updated
Feb 22, 2018
License
3180330 (CA)

Practice Information

Address
2540 EAST ST
CONCORD, CA, 945201906
Browse CA providers · Browse ZIP 94520
Phone
9256828200
Primary Specialty
Orthotic Fitter
242T00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.