Individual
STACY R RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
915 LAWN AVE, SUITE 203, SELLERSVILLE, PA 18960-1551
(215) 257-3697
(215) 453-3410
Mailing address
PO BOX 1111, HARLEYSVILLE, PA 19438-0907
(215) 257-3697
(215) 453-3410
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA051060
PA
Other
Enumeration date
06/05/2006
Last updated
12/24/2012
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