Individual
RYAN AVERY MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
724 N SPRING ST STE A, HARRISON, AR 72601-2913
(870) 365-0850
(870) 365-0862
Mailing address
PO BOX 2990, HARRISON, AR 72602-2990
(870) 365-0850
(870) 365-0862
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-20704
AR
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
E-20704
AR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
BP10085211
TX
Other
Enumeration date
06/14/2023
Last updated
05/20/2026
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