Individual
THOMAS J RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2961A HUNTER MILL RD # 140, OAKTON, VA 22124-1704
(703) 901-1383
(703) 255-1091
Mailing address
10330 HICKORY FOREST DR, OAKTON, VA 22124-1523
(703) 255-3712
(703) 255-1091
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101032143
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006087540
—
VA
Enumeration date
10/20/2005
Last updated
04/27/2010
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