Individual
RYAN PEYTON HOSTUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
201 RICHARD ST UNIT A, EASLEY, SC 29640-1442
(833) 365-7246
Mailing address
1901 ANN ST, PARKERSBURG, WV 26101-2504
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
202000235
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
82628
SC
208VP0000X
Pain Medicine Physician
Primary
30762
WV
Other
Enumeration date
05/06/2014
Last updated
12/15/2021
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