Individual
RYAN A MCDONNEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5705 SALEM RUN BLVD, SUITE 100, FREDERICKSBURG, VA 22407-7119
(540) 786-4882
(540) 786-4893
Mailing address
17470 CENTER DR, SUITE 4C, RUTHER GLEN, VA 22546-2881
(804) 448-0887
(804) 448-0887
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556359
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0104556359
VA STATE LICENSE NUMBER
VA
Enumeration date
08/03/2006
Last updated
12/07/2009
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