Individual
RYAN ROZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-4206
(570) 271-6541
(570) 271-5872
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
MT193869
PA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MT193869
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT193869
PA
Other
Enumeration date
07/15/2008
Last updated
08/13/2020
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