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

RYAN CLARKE GOTTFREDSON, D.O.

Active

RYAN CLARKE GOTTFREDSON, D.O. is a Public Health & General Preventive Medicine healthcare provider located in JBSA LACKLAND, Texas. NPI 1447562616 is currently active in the NPPES registry. Verify at CMS.

Public Health & General Preventive Medicine · JBSA LACKLAND, TX

Registration Details

NPI Number
1447562616
Provider Type
Individual
Gender
Male
NPI Issued
Jul 5, 2010 (16.130625433833 yrs)
Last Updated
Jul 27, 2018
Licenses
0102203077 (VA)
0102203077 (VA)

Practice Information

Address
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX, 78236
Browse TX providers · Browse ZIP 78236
Phone
2102926225

Other Public Health & General Preventive Medicine Providers in JBSA LACKLAND, TX

Name Credential NPI
CECILI K SESSIONS M.D. 1538150032
MARY T PAWLAK MD 1740459635
DR. DIANNE FRANKEL DO 1255690608
DR. ERIN WINKLER MD 1518228261
DR. SUSAN J CHING DO 1760876791
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.