Individual
DR. WILLIAM GUNNING RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
611 DELLA STREET, TAPPAHANNOCK, VA 22560-0966
(804) 443-3901
(804) 443-6458
Mailing address
PO BOX 966, TAPPAHANNOCK, VA 22560-0966
(804) 443-3901
(804) 443-6458
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000514
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009204032
—
VA
01
—
CM7564
MEDICARE RAILROAD
VA
Enumeration date
07/12/2006
Last updated
04/16/2012
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