Individual
RYAN A CARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
49 SPRING ST, 1ST FLOOR, SCARBOROUGH, ME 04074
(207) 885-0011
(207) 885-5851
Mailing address
301C US ROUTE 1, SCARBOROUGH, ME 04074-9701
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
0567
NH
363AS0400X
Surgical Physician Assistant
Primary
PA-535
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30333937
—
NH
Enumeration date
07/05/2006
Last updated
03/13/2012
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