Individual
RYAN LEIGH MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3640 MAIN ST, SUITE 302, SPRINGFIELD, MA 01107-1145
(413) 732-4242
Mailing address
3640 MAIN ST, SUITE 302, SPRINGFIELD, MA 01107-1145
(413) 732-4242
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA5484
MA
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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