Search › California › 122300000X
Ryan Heasley, D.M.D
NPI 1245689033 · on the registry since 2016
Practice
- Address
- 3480 Bob Wilson Dr
3480 Bob Wilson Drive
San Diego, CA 92134 - Phone
- (619) 532-7935
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 390200000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-08-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California