Individual
DR. TRACI RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
119 OAKFIELD DR, BRANDON, FL 33511-5779
(813) 581-5150
Mailing address
7218 BUCKS FORD DR, RIVERVIEW, FL 33578-8378
(215) 828-4242
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS012467
FL
Other
Enumeration date
05/15/2007
Last updated
07/02/2014
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