Individual
RYAN JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 HOWARD AVE, ALTOONA, PA 16601-4804
(814) 889-2866
(814) 889-6785
Mailing address
620 HOWARD AVE, ALTOONA, PA 16601-4804
(814) 889-2866
(814) 889-6785
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD465259
PA
207P00000X
Emergency Medicine Physician
MT210895
PA
Other
Enumeration date
06/21/2016
Last updated
02/14/2023
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