Individual
ALEX RYDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1280 STATELINE RD E, SOUTHAVEN, MS 38671-9486
(877) 334-0021
Mailing address
9050 TELLURIDE CV, GERMANTOWN, TN 38138-8400
(503) 559-5873
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
53551
TN
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
53005
CT
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
53551
TN
Other
Enumeration date
04/20/2010
Last updated
07/01/2023
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