Individual
JOHN J RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 DAVIS STUART RD, RONCEVERTE, WV 24970-9549
(304) 793-3937
(304) 793-2203
Mailing address
101 DAVIS STUART RD, RONCEVERTE, WV 24970-9549
(304) 793-3937
(304) 793-2203
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
21647
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810000169
—
WV
Enumeration date
02/08/2006
Last updated
05/20/2008
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