Individual
MS. RYAN ELIZABETH MATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
630 EATON AVE, HAMILTON, OH 45013-2767
(513) 867-2270
(513) 867-2581
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50002677
OH
Other
Enumeration date
10/22/2007
Last updated
07/15/2009
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