Organization
WASHINGTON MEDICAL CENTER
Active
Organization
WASHINGTON MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA RYAN FNP-C (PROVIDER)
(636) 202-9400
Entity
Organization
Contact information
Practice address
1351 JEFFERSON ST STE 16, WASHINGTON, MO 63090-6449
(636) 202-9400
Mailing address
1351 JEFFERSON ST STE 16, WASHINGTON, MO 63090-6449
(636) 202-9400
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/15/2021
Last updated
05/23/2022
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