Individual
RYAN JOHN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1322 ELTON RD STE P, JENNINGS, LA 70546
(337) 824-2282
(337) 824-0058
Mailing address
1322 ELTON RD STE P, JENNINGS, LA 70546-4100
(337) 824-2282
(337) 824-0058
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
304206
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/15/2015
Last updated
07/12/2018
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