Individual
DR. RYAN NATHANIEL HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2900 LAMB CIR, SUITE L 760, CHRISTIANSBURG, VA 24073-6344
(540) 731-2436
(540) 731-2439
Mailing address
2900 LAMB CIR, SUITE L 760, CHRISTIANSBURG, VA 24073-6344
(540) 731-2436
(540) 731-2439
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0102203415
VA
207X00000X
Orthopaedic Surgery Physician
OTO11281
PA
2083A0100X
Aerospace Medicine Physician
OSO13828
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477354473
HEALTHKEEPERS
VA
01
—
1477654473
VA PREMIER
VA
05
—
1477654473
—
VA
01
—
540506332108
TRICARE
VA
01
—
VVC734A
MEDICARE PTAN
VA
01
—
VVC734B
MEDICARE PTAN
VA
Enumeration date
09/25/2006
Last updated
12/11/2020
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