Individual
DR. JOHN JOSEPH RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7482 WATERSIDE CROSSING BLVD, SUITE 202, DENVER, NC 28037-3005
(704) 316-4930
(704) 316-4931
Mailing address
PO BOX 600447, CHARLOTTE, NC 28260-0447
(704) 316-4930
(704) 316-4931
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200700782
NC
207Q00000X
Family Medicine Physician
35.047427
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0500603
—
OH
05
—
5908251
—
NC
Enumeration date
10/24/2006
Last updated
03/31/2015
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