Organization
RYAN CRENSHAW MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOANNE CRENSHAW M.D. (OFFICE MANAGER)
(703) 421-2875
Entity
Organization
Contact information
Practice address
21135 WHITFIELD PL, SUITE 102, STERLING, VA 20165-7279
(703) 444-4799
(703) 444-4985
Mailing address
47568 ANCHORAGE CIR, POTOMAC FALLS, VA 20165-4712
(703) 421-2875
(703) 421-5701
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101057206
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5858143
—
VA
Enumeration date
04/13/2010
Last updated
04/16/2010
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