Individual
CHRISTOPHER A RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
818 CONGRESS ST, PORTLAND, ME 04102-3112
(207) 773-8161
(207) 773-1489
Mailing address
301C US ROUTE ONE, SCARBOROUGH, ME 04074-9701
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1882
MA
363AS0400X
Surgical Physician Assistant
Primary
PA001074
ME
Other
Enumeration date
06/14/2006
Last updated
08/02/2012
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