Individual
MR. THOMAS RYSEDORPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5801 BREMO RD, RICHMOND, VA 23226-1907
(804) 285-2011
Mailing address
823 W 29TH ST, RICHMOND, VA 23225-3508
(804) 477-4003
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110010013
VA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
04/03/2024
Last updated
06/25/2024
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