Individual
RYAN MAURER SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2331 FRANKLIN RD SW, ROANOKE, VA 24014-1111
(540) 510-6200
Mailing address
213 S JEFFERSON ST, STE 1006, ROANOKE, VA 24011
(540) 224-5352
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-006999
VA
Other
Enumeration date
01/14/2020
Last updated
12/13/2023
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