Individual
DR. THOMAS RYAN MAGRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
650 JOEL DR, BLANCHFIELD ARMY COMMUNITY HOSPITAL, FORT CAMPBELL, KY 42223-5318
(270) 461-2333
Mailing address
650 JOEL DR, BLANCHFIELD ARMY COMMUNITY HOSPITAL, FORT CAMPBELL, KY 42223-5318
(270) 461-2333
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
0101240248
VA
2084P0800X
Psychiatry Physician
Primary
0101240248
VA
Other
Enumeration date
01/08/2007
Last updated
09/23/2013
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