Individual
DR. RYAN LLOYD WADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4619 KANAWHA AVE SW, PULMONARY ASSOCIATES OF CHARLESTON, CHARLESTON, WV 25309-1319
(304) 400-4545
(304) 400-4546
Mailing address
4619 KANAWHA AVE SW, PULMONARY ASSOCIATES OF CHARLESTON, CHARLESTON, WV 25309-1319
(304) 400-4545
(304) 400-4546
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2879
WV
207RP1001X
Pulmonary Disease Physician
Primary
2879
WV
Other
Enumeration date
04/18/2008
Last updated
03/16/2021
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