Ryan E Berecky, MD
Radiology, Diagnostic Radiology in Bend, OR. Individual provider (NPI-1).
NPI number1104026772
StatusActive
Last updated in NPPESMar 2, 2023
Details
- NPI
- 1104026772
- Entity type
- Individual (NPI-1)
- Name
- Ryan E Berecky
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 23, 2007
- Certification date
- Mar 2, 2023
- Last updated
- Mar 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | MD156397 | OR | Yes |
Practice location
1460 Ne Medical Center DrBend, OR 97701-6061
Phone 541-382-6633 · Fax 541-382-2719
Mailing address
1460 Ne Medical Center DrBend, OR 97701-6061
Phone 541-382-6633 · Fax 541-382-2719
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