Basic Information
| Provider Information | |||||||||
| NPI: | 1902812795 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | RYHAL | ||||||||
| FirstName: | BRUCE | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1001 RIVERSIDE AVE | ||||||||
| Address2: | |||||||||
| City: | ROSEVILLE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 95678 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9167844220 | ||||||||
| FaxNumber: | 5307844389 | ||||||||
| Practice Location | |||||||||
| Address1: | 1001 RIVERSIDE AVE | ||||||||
| Address2: | |||||||||
| City: | ROSEVILLE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 956785134 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5307522884 | ||||||||
| FaxNumber: | 5307546047 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/31/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RA0201X | G48675 | CA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Allergy & Immunology |
No ID Information.